DR. SOFIA CARLEEN JIMENEZ


Address: 2740 W Foster Ave, Suite 412, Chicago, IL 60625-3500
Phone: 7738788200

DR. SOFIA CARLEEN JIMENEZ (NPI# 1003289356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003289356
Entity Type Individual
Full Name DR. SOFIA CARLEEN JIMENEZ
Credential PSY.D.
Practice Address 2740 W Foster Ave
Suite 412
Chicago
IL 60625-3500
Mailing Address 2740 W Foster Ave
Ll7
Chicago
IL 60625-3500
Practice Telephone 7738788200
Practice Fax Number 7732935346
Mailing Telephone 7738788200
Mailing Fax Number 7732934197
Enumeration Date 2015-11-09
Last Update Date 2020-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
071.009147 IL Behavioral Health & Social Service Providers

Office Location

Street Address 2740 W FOSTER AVE
SUITE 412
City CHICAGO
State IL
Zip Code 60625-3500

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NPI Name Taxonomy Address Enumeration
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1831544378 Lutheran Social Services of Il Counselor 2740 W Foster Ave, Ste 103, Chicago, IL 60625-3500 2016-05-03
1427422625 Sahned Jaafar Surgery 2740 W Foster Ave, Ll7, Chicago, IL 60625 2015-11-25
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1205273190 Hilary Bayley Brown Social Worker 2740 W Foster Ave, Ste 412, Chicago, IL 60625-3500 2013-05-31
1891067666 Resurrection Services General Practice 2740 W Foster Ave, Suite 113, Chicago, IL 60625-3500 2012-02-08
1215223581 Nina Patel Internal Medicine 2740 W Foster Ave, Ste 401, Chicago, IL 60625-3591 2011-06-24
1073819165 Federer Surgical Services Ltd Surgery 2740 W Foster Ave, Suite 213, Chicago, IL 60625-3500 2011-02-07
1760792824 Basheer Farooki, Md.sc Internal Medicine 2740 W Foster Ave, Suite 415, Chicago, IL 60625-3500 2010-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726615 B Wise Rehabilitation Pllc Physical Therapist 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 2020-10-07
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1699303164 Marina Karamanis Student in an Organized Health Care Education/Training Program Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 2020-03-31
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1982266110 Noreen Randhawa Family Medicine Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 2019-07-09
1376102202 Nita Gupta Student in an Organized Health Care Education/Training Program Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 2019-06-13
1841763471 Alexandra Taskier Counselor 5359 N Bowmanville Ave., Chicago, IL 60625 2019-01-07
1013490143 Paula Bielnicka Pharmacist Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 2018-09-14
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821699166 Jennifer Knuepfer, Psyd, Pllc Psychologist 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 2020-11-03
1104426170 Grace Giedgowd Psychologist 1640 W Division St Apt 205, Chicago, IL 60622-3939 2020-10-29
1184223364 Caroline Elisabeth Fulton Psychologist 1739 N Elston Ave, Chicago, IL 60642-1544 2020-10-20
1881293108 Haley Michelle Sims Psychologist 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 2020-10-19
1285231936 Qianhui Zhang Psychologist 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 2020-10-06
1316544158 Nancy Marie Picard Psychologist 4885 N Hermitage Ave, Chicago, IL 60640-4104 2020-10-05
1730792151 Jenny Marie Wamsat Psychologist 1921 W Diversey Pkwy Apt 402, Chicago, IL 60614-9412 2020-08-25
1497365910 Sara Sirota Psychologist 5443 N Broadway St # 2s, Chicago, IL 60640-1703 2020-08-10
1053920512 Alyse Renae Bedell Psychologist 5841 S Maryland Ave Ste 300, Chicago, IL 60637-1443 2020-07-30
1699392688 Hongying Chen Psychologist 720 W Sheridan Rd Apt 3s, Chicago, IL 60613-3252 2020-06-25
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Competitor

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City CHICAGO
Zip Code 60625

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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