Individual
JENNY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 442-2247
Mailing address
2727 S INDIANA AVE APT 205, CHICAGO, IL 60616
(773) 936-8682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011690
IL
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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