DR. ROSITA JIMENEZ, PERIODONTIST

Dentist - Periodontics

Active Individual
NPI: 1356412530

Practice Address

2621 S LAWNDALE AVE
SUITE B
Chicago, IL 60623

Phone: (773) 762-0200

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X No 019.015877 (IL)
Dentist - Periodontics 1223P0300X Yes 021.001004 (IL)

Frequently Asked Questions

NPI 1356412530 is the National Provider Identifier for DR. ROSITA JIMENEZ, PERIODONTIST, a Dentist - Periodontics provider located in Chicago, IL. This NPI was enumerated on November 10, 2006.
DR. ROSITA JIMENEZ, PERIODONTIST practices at 2621 S LAWNDALE AVE, SUITE B, Chicago, IL 60623.

Quick Facts

NPI
1356412530
Type
Individual
Enumerated
Nov 10, 2006
Last Updated
Mar 1, 2013

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