Individual
JOSE L JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1100 W CERMAK RD, SUITE B-305 UNIT 1, CHICAGO, IL 60608-4500
(773) 391-1541
Mailing address
1100 W CERMAK RD, SUITE B-305 UNIT 1, CHICAGO, IL 60608-4500
(773) 391-1541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007936
IL
Other
Enumeration date
02/20/2007
Last updated
04/26/2021
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