Individual
FERNAND FELIPE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6455 S KEDZIE AVE, CHICAGO, IL 60629-2829
(773) 863-9234
Mailing address
1111 S WABASH AVE, #2508, CHICAGO, IL 60605-2350
(786) 218-4744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010191
IL
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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