Lim, Edison Uy

Lim, Edison Uy is an individual health care provider with primary practice located at 1572 S Bell School Rd , Cherry Valley IL 61016-9362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lim, Edison Uy can be contacted via phone (815) 332-3015.

Contact Information

Primary practice address
1572 S Bell School Rd Cherry Valley IL 61016-9362
Fax: (815) 332-7805
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036090152 Illinois

Profile Details

NPI number 1215966858
LBN Legal business name Lim, Edison Uy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 5th, 2014 - about 10 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 1215966858 NPPES
Illinois Other 553180 MEDICARE GROUP #
Illinois MEDICAID 036090152 MEDICARE GROUP #

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