Lim-Dunham, Jennifer

Lim-Dunham, Jennifer is an individual health care provider with primary practice located at 2106 S First Ave 101 1740 Loyola University Medical Center, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Lim-Dunham, Jennifer can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2106 S First Ave 101 1740 Loyola University Medical Center Maywood IL 60153
Fax: (708) 216-9033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 36083294 Illinois

Profile Details

NPI number 1487631354
LBN Legal business name Lim-Dunham, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487631354 NPPES
Illinois MEDICAID 36083294

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