MEDICARE: SYDNEY LIMON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1215885652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY LIMON

Provider Business Mailing Address
First Line	:	8731 GLENSHIRE ST
Second Line	:
City	:	TINLEY PARK
State	:	IL
Zip	:	60487-7040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 W CHICAGO AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-5600
Country	:	US
Telephone Number	:	832-761-3176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ SYDNEY LIMON ” Practice Location

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