Fernand Felipe Jimenez O.D.

NPI 1699905042 - Optometrist - 152W00000X

NPI Details
NPI 1699905042
Gender Male
Enumeration Date 07/20/2009
Last Updated 07/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
6455 S KEDZIE AVE
CHICAGO IL, 60629-2829, US
Phone (773) 863-9234
Fax
Business Location
1111 S WABASH AVE
#2508
CHICAGO IL, 60605-2350, US
Phone (786) 218-4744
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046010191
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According to our database, Fernand Felipe Jimenez O.D. NPI is 1699905042, taxonomy code is 152W00000X and license number is 046010191, license state is located at Illinois. Fernand Felipe Jimenez O.D. physically located at 6455 S Kedzie Ave, Chicago IL, 60629-2829. NPI Number Fernand Felipe Jimenez O.D. has the Individual type.

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1699905042 NPI number is provided on an as is basis without warranty of any kind. 1699905042 is maintained by the National Plan & Provider Enumeration System. The contents of Fernand Felipe Jimenez O.D. are for informational purposes only.