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Individual

MS. ELSA ILIANA JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
303 ANCHOR DR, CARPENTERSVILLE, IL 60110-2807
(847) 989-0885
Mailing address
303 ANCHOR DR, CARPENTERSVILLE, IL 60110-2807
(847) 989-0885

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
J552-2096-3884
IL

Other

Enumeration date
09/24/2011
Last updated
09/24/2011
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