Rosita C. Jimenez in Chicago - Periodontics
Rosita C. Jimenez - NPI 1356412530
Rosita C. Jimenez is a Periodontics in Chicago, Illinois. Rosita C. Jimenez practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Rosita C. Jimenez is 1356412530. The last update date is 2013-03-01.
Rosita C. Jimenez's current location address is 2621 S Lawndale Ave, Chicago, Illinois. You can contact this provider via phone number 7737620200 and fax number 7737620201. The mailing address for Rosita C. Jimenez is 2621 S Lawndale Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rosita C. Jimenez |
|---|---|
| Address | 2621 S Lawndale Ave, Chicago, Illinois |
| Phone Number | 7737620200 |
| Fax Number | 7737620201 |
| Sole Proprietor | Y |
| Credentials | PERIODONTI |
NPI Number Detail
| NPI Number | 1356412530 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2013-03-01 |
Provider Mailing Address Detail
| Address | 2621 S Lawndale Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606234520 |
| Phone Number | 7737620200 |
| Fax Number | 7737620201 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21.001004 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DWP11770 | IL | DENTAL WELLNESS PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rosita C. Jimenez by the Centers for Medicare & Medicaid Services?
The Rosita C. Jimenez has been issued the NPI (National Provider Identifier) 1356412530, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Rosita C. Jimenez is physically located?
The Rosita C. Jimenez is situated at the following address: 2621 S Lawndale Ave, Chicago, IL 606234520.
What is Rosita C. Jimenez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Rosita C. Jimenez is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356412530 to Rosita C. Jimenez?
The Rosita C. Jimenez received its 1356412530 assignment from the Centers for Medicare & Medicaid Services on 2006-11-10.
When was the information related to Rosita C. Jimenez most recently updated or refreshed?
The details pertaining to the Rosita C. Jimenez, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-03-01.
NPI Number: 1720081763
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