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General NPI Number Information
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NPI Number | 1518906841
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Entity Type | Individual
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Provider Name | JENELYN CHING LIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 1717 WEST CONGRESS PKWY SUITE 1125
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-563-3700
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Fax | 312-563-3701
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Provider Business Mailing Address
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Address Line | 1717 WEST CONGRESS PKWY SUITE 1125
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-563-3700
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Fax | 312-563-3701
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 036140069
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License Number State | IL
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