MEDICARE: ADVANCED GYNECOLOGY, S.C.

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
1	207V00000X	Obstetrics & Gynecology Physician	042-619903	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	042-619903	OTHER	IL	STATE LICENSE OF MEDICAL CORPORATION

General Provider Information

NPI Number	:	1679844039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED GYNECOLOGY, S.C.

Provider Business Mailing Address
First Line	:	250 W KENSINGTON RD STE 1B
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-1292
Country	:	US
Telephone Number	:	847-568-1488
Fax Number	:	847-749-2695

Provider Business Practice Location Address
First Line	:	250 W KENSINGTON RD STE 1B
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-1292
Country	:	US
Telephone Number	:	847-568-1488
Fax Number	:	847-749-2695

Authorized Official
Title or Position	:	OWNER AND PHYSICIAN
Name	:	DR. SOGOL JAHEDI JIMENEZ
Credential	:	MD
Telephone Number	:	847-568-1488

Provider Enumeration Date	:	01/17/2012
Last Update Date	:	08/24/2018

Similar Medicare Providers

1144074915 — ASHLEY J CARRANZA
Practice Location Address:

250 W KENSINGTON RD STE 3B
MOUNT PROSPECT, IL
60056-1292

Practice Phone: 847-649-6288
Practice Fax:

1760532790 — KATARZYNA B IWANICKI P.A.
Practice Location Address:

250 W KENSINGTON RD STE 3B
MOUNT PROSPECT, IL
60056-1292

Practice Phone: 622-652-2887
Practice Fax: 262-764-0224

1922265701 — DR. SOGOL JAHEDI JIMENEZ MD
Practice Location Address:

250 W KENSINGTON RD STE 1B
MT PROSPECT, IL
60056-1292

Practice Phone: 847-568-1488
Practice Fax: 847-749-2695

1285059642 — OPTISOUND HEARING US INC
Practice Location Address:

1292 BURNS WAY
KALISPELL, MT
59901-3110

Practice Phone: 406-755-2320
Practice Fax:

1548688021 — DAVID JAMES BAGGETT
Practice Location Address:

1292 BURNS WAY
KALISPELL, MT
59901-8766

Practice Phone: 406-890-0678
Practice Fax: 406-257-2456

1568015097 — EVELINA GROSZEWSKI BC-HIS
Practice Location Address:

1292 BURNS WAY
KALISPELL, MT
59901-3110

Practice Phone: 406-404-6226
Practice Fax:

Directions to “ADVANCED GYNECOLOGY, S.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.