Organization
DIVERSE INVESTMENTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL JIMENEZ DC (PRESIDENT)
(773) 610-9738
Entity
Organization
Contact information
Practice address
3407 W FULLERTON AVE, CHICAGO, IL 60647-2497
(773) 954-4438
(773) 486-5022
Mailing address
848 DODGE AVE STE 207, EVANSTON, IL 60202-1506
(773) 610-9738
(773) 486-5022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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