Jimenez, Yvonne Marie

Jimenez, Yvonne Marie is an individual health care provider with primary practice located at 3700 W 203Rd St Suite 301, Olympia Fields IL 60461-1180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jimenez, Yvonne Marie can be contacted via phone (708) 679-2850.

Contact Information

Primary practice address
3700 W 203Rd St Suite 301 Olympia Fields IL 60461-1180
Phone: (708) 679-2850
Fax: (708) 503-3810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036110075 Illinois

Profile Details

NPI number 1255370979
LBN Legal business name Jimenez, Yvonne Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 15th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255370979 NPPES
Illinois MEDICAID 036110075

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