Camilla Lim, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

036059340 Issued in IL

Practice address

309 Ridgemoor Dr
Willowbrook, IL 60527-5416

Phone

(630) 667-8578

Fax

(630) 323-7105

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2013.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1700218385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RIDGEMOOR DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275416",
            "telephone_number": "630-667-8578",
            "fax_number": "630-323-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RIDGEMOOR DR",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275416",
            "telephone_number": "630-667-8578",
            "fax_number": "630-323-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "CAMILLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036059340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Liebert, FNP-BC
• Life Counseling Institute
• Life Counseling Institute
• Life Counseling Institute
• Lifemine Health, LLC
• Lincare Inc
• Lincare Inc.
• Nathallie Lopez
• Loving Home Health Care Corporation
• Loving Wheels LLC

• All providers in Willowbrook, IL
• Geriatric Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.