Active NPI
Sungho Lim, M.D.
- Vascular Surgery Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036.152118
- Practice address
- 1725 W Harrison St Ste 1156
Chicago, IL 60612-3852 - Phone
- (312) 563-2762
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036.152118 | IL | |
| Vascular Surgery Physician | 2086S0129X | 036.152118 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St Ste 1156
Chicago, IL 60612-3852
Mailing address
1725 W Harrison St Ste 1156
Chicago, IL 60612-3852
Phone (312) 563-2762
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 327-3436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1620 W Harrison St
Chicago, IL 60612-3801
1653 W Congress Pkwy
Chicago, IL 60612-3833
1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875
1725 W Harrison St
Chicago, IL 60612-3852
1725 W Harrison St
Suite 450
Chicago, IL 60612-4828
Phone (312) 563-4238
2000 Ogden Ave
Aurora, IL 60504-7222
Phone (312) 942-6800
2040 Ogden Ave
Aurora, IL 60504-7205
520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 660-2240
701 Superior Ave
Suite O
Munster, IN 46321-4037
Phone (312) 942-6642
Hospital & facility affiliations
- Rush University Medical Center
- Copley Memorial Hospital
- Rush Oak Park Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 24 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.152118 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Surgery | Current | Accepting new patients |
Locations
2040 Ogden Ave
Ste 304
Aurora, IL 60504
Phone (630) 236-4270
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 115
Chicago, IL 60612
Phone (312) 829-2540
1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
9200 Calumet Ave
Ste E107
Munster, IN 46321
Phone (219) 806-6585
701 Superior Ave
Ste O
Munster, IN 46321
Phone (219) 864-7782
Interoperability endpoints
- slim169769@direct.rush.rush-health.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1851739403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1156",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123852",
"telephone_number": "312-563-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1156",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123852",
"telephone_number": "312-563-2762"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-327-3436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "SUNGHO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.152118",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036.152118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.