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Dr. Jose Dennis Lim, MD
General Practice Physician in South Bend, Indiana
NPI 1821082090

Jose Dennis Lim is a General Practice Physician based in Edwardsburg, IN. Jose Dennis Lim practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Jose Dennis Lim is 1821082090 and holds a License No. 01044250A (Indiana).

The current practice location address for Jose Dennis Lim is 1901 W Western Ave, South Bend, IN and can be reached out via phone at 574-234-9033 and via fax at 574-234-9059.

Location: 1901 W Western Ave, South Bend, IN, 49112-9210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821082090
Provider Name
Jose Dennis Lim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1901 W Western Ave, South Bend, IN, 49112-9210
Phone Number
574-234-9033
Fax Number
574-234-9059
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200074220 05 IN
institution
Provider Business Practice Location Address Details
Address
1901 W Western Ave
City
South Bend
State
Indiana
Zip
46619-3521
Phone Number
574-234-9033
Fax Number
574-234-9059
person
Provider Business Mailing Address Details
Address
1901 W Western Ave
City
South Bend
State
Indiana
Zip
46619-3521
Phone Number
574-234-9033
Fax Number
574-234-9059
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
01044250A (Indiana)
Definition
Definition to come...
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