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NPI Code Detail

MEDICARE: STEPHANIE JIMENEZ APRN FNP-BC

MEDICARE: STEPHANIE JIMENEZ APRN FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.030611IL

General Provider Information

NPI Number : 1437973435
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JIMENEZ APRN FNP-BC
Provider Business Mailing Address
First Line : 1349 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-8316
Country : US
Telephone Number : 773-384-8584
Fax Number : 866-777-2763
Provider Business Practice Location Address
First Line : 1349 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-8316
Country : US
Telephone Number : 773-384-8584
Fax Number : 866-777-2763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2024
Last Update Date : 03/31/2026

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Directions to “ STEPHANIE JIMENEZ APRN FNP-BC” Practice Location

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