NPIMap

Organization Active NPI

Eric Lim, DDS, LTD

Doing business as Glenlake Dental Care, Ltd

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1669889077
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-025267 Issued in IL
Legal business name
ERIC LIM, DDS, LTD
Doing business as
Glenlake Dental Care, Ltd
Practice address
946 Harlem Ave
Glenview, IL 60025-4275
Phone
(847) 724-3969
Fax
(847) 724-3972
NPI assigned
Jul 17, 2014
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric LimNPI 1316100365
Title
President
Phone
(847) 724-3969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-025267 IL Primary

Addresses

Primary practice location

946 Harlem Ave
Glenview, IL 60025-4275

Mailing address

946 Harlem Ave
Glenview, IL 60025-4275
Phone (847) 724-3969

Other names 1

  • Glenlake Dental Care, Ltd Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1669889077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 HARLEM AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254275",
            "telephone_number": "847-724-3969",
            "fax_number": "847-724-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 HARLEM AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254275",
            "telephone_number": "847-724-3969",
            "fax_number": "847-724-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LIM, DDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-724-3969"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenlake Dental Care, Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.