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EDGEBROOK PERIODONTICS & IMPLANTOLOGY
NPI 1174633275
Dentist - Periodontics in Chicago, IL

Active since August 30, 2006
4801 W. PETERSON AVE, STE #404, CHICAGO, IL 60646(773) 794-1299(773) 794-1629 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgebrook Periodontics & Implantology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGEBROOK PERIODONTICS & IMPLANTOLOGY (NPI 1174633275) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since August 2006. The organization lists Jun Sup Lim, President, as its authorized official.

NPPES Registry Identity

NPI1174633275
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJUN S. LIM, DDS, MS, LTD
Location Address4801 W. PETERSON AVE, STE #404Chicago, IL 60646
Mailing Address4801 W. Peterson Ave, Ste #404Chicago, IL 60646 · (773) 794-1299 · Fax (773) 794-1629
Phone(773) 794-1299
Fax(773) 794-1629
Organization SubpartNo
Authorized OfficialJun Sup LimPresident · (773) 794-1299
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174633275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4801 W. PETERSON AVE, Chicago, IL 60646
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Other Names 1

Other NameEdgebrook Periodontics & Implantology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD LOUIS VOGEL D.D.S.
Dentist
4801 W. PETERSON AVE, SUITE 504
CHICAGO, IL 60646
Cook County (773) 282-2266
DR. JENNIFER NICOLE DAVIS PSY.D.
Psychologist (Clinical)
4801 W. PETERSON AVE, SUITE 401
CHICAGO, IL 60646
Cook County (773) 282-2322
DR. LAWRENCE M. BONANNO D.D.S.
Dentist (General Practice)
4801 W. PETERSON AVE, 316
CHICAGO, IL 60646
Cook County (773) 685-9666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jun S. Lim, Dds, Ms, Ltd's NPI number?

The NPI number for Jun S. Lim, Dds, Ms, Ltd is 1174633275. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is also known as Edgebrook Periodontics & Implantology.

Where is Jun S. Lim, Dds, Ms, Ltd located?

Jun S. Lim, Dds, Ms, Ltd is located at 4801 W. Peterson Ave Ste #404, Chicago, IL 60646. The listed phone number is (773) 794-1299.

What is Jun S. Lim, Dds, Ms, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Jun S. Lim, Dds, Ms, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.