Most Relevant Information
Provider Data
| NPI Number: | 1003289356 |
| Provider Name: | SOFIA CARLEEN JIMENEZ PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 071.009147 |
Most Important Dates
| Enumeration Date: | 11/09/2015 |
| Last Updated: | 12/12/2021 |
Provider Practice Location
4800 N MILWAUKEE AVE
CHICAGO
IL
606302189
Practice Location Phone/Fax
| Phone: | 3125740830 |
| Fax: |
Provider Mailing Location
6520 N TAHOMA AVE
CHICAGO
IL
606462825
Provider Mailing Phone/Fax
| Phone: | 7739460993 |
| Fax: |