Individual
DR. SOGOL JAHEDI JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 W KENSINGTON RD STE 1B, MT PROSPECT, IL 60056-1292
(847) 568-1488
(847) 749-2695
Mailing address
250 W KENSINGTON RD STE 1B, MT PROSPECT, IL 60056-1292
(847) 568-1488
(847) 749-2695
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.120258
IL
207V00000X
Obstetrics & Gynecology Physician
36-120258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-120258
STATE MEDICAL LICENSE
IL
Enumeration date
05/20/2008
Last updated
06/11/2019
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