Provider Demographics
NPI:1881169761
Name:LIM, JANET CORAZON COLINA (MD)
Entity type:Individual
Prefix:DR
First Name:JANET CORAZON
Middle Name:COLINA
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:C
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:572 PRESCOTT LN
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-5313
Mailing Address - Country:US
Mailing Address - Phone:847-421-0513
Mailing Address - Fax:
Practice Address - Street 1:572 PRESCOTT LN
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5313
Practice Address - Country:US
Practice Address - Phone:847-421-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35060919207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine