Search › Illinois › 101Y00000X
Abraham Jimenez
NPI 1093164154 · on the registry since 2016
Practice
- Address
- 721 N. Lasalle Street
Chicago, IL 60654 - Phone
- (708) 329-4064
- Fax
- (708) 460-0502
- Organisation at this address
- Catholic Charities Of The Archdiocese Of Chicago
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois