Individual
ALBERTO A JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4035 ELM ST, EAST CHICAGO, IN 46312
(219) 397-0425
Mailing address
1323 171ST PLACE, HAMMOND, IN 46324
(219) 397-0425
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01031349
IN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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