Healthcare Provider Details

I. General information

NPI: 1790942894
Provider Name (Legal Business Name): ORTHOPAEDIC SURGERY SPECIALISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2008
Last Update Date: 09/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 IL ROUTE 22 SUITE 2
FOX RIVER GROVE IL
60021-1998
US

IV. Provider business mailing address

1550 N NORTHWEST HWY SUITE 220
PARK RIDGE IL
60068-1411
US

V. Phone/Fax

Practice location:
  • Phone: 847-842-9366
  • Fax: 847-842-9467
Mailing address:
  • Phone: 847-298-7024
  • Fax: 847-298-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HO MIN LIM
Title or Position: PRESIDENT
Credential: MD
Phone: 847-824-3198