Healthcare Provider Details

I. General information

NPI: 1710278973
Provider Name (Legal Business Name): IRENE ISABEL PAYAD LIM-BEUTEL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRENE ISABEL PAYAD LIM MD, MPH

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

150 HARVESTER DR STE 300
BURR RIDGE IL
60527-5965
US

V. Phone/Fax

Practice location:
  • Phone: 888-824-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number35.134524
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number036177416
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number2022023727
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberME176050
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number52005
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number04-46682
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: