Individual
ABRAHAM JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 N. LASALLE STREET, CHICAGO, IL 60654
(708) 329-4064
(708) 460-0502
Mailing address
721 N. LASALLE STREET, CHICAGO, IL 60654
(708) 329-4064
(708) 460-0502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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