Provider Demographics
NPI:1679804975
Name:LIM, ESTHER HYEJUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:HYEJUNG
Last Name:LIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 E WASHINGTON ST UNIT 210
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-9800
Mailing Address - Country:US
Mailing Address - Phone:618-789-0886
Mailing Address - Fax:
Practice Address - Street 1:4224 W LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2729
Practice Address - Country:US
Practice Address - Phone:773-595-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190281931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice