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Organization
ADVANCED GYNECOLOGY, S.C.
Active
Organization
ADVANCED GYNECOLOGY, S.C.
Active
Other names
Advanced Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOGOL JAHEDI JIMENEZ MD (OWNER AND PHYSICIAN)
(847) 568-1488
Entity
Organization
Contact information
Practice address
250 W KENSINGTON RD STE 1B, MT PROSPECT, IL 60056-1292
(847) 568-1488
(847) 749-2695
Mailing address
250 W KENSINGTON RD STE 1B, MT PROSPECT, IL 60056-1292
(847) 568-1488
(847) 749-2695
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042-619903
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-619903
STATE LICENSE OF MEDICAL CORPORATION
IL
Enumeration date
01/17/2012
Last updated
08/24/2018
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