Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rosita C. Jimenez, PERIODONTIST

Individual provider General Practice Dentistry · NPI 1356412530

Dr. Rosita C. Jimenez, PERIODONTIST is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2621 S Lawndale Ave Ste B
Chicago, IL 60623-4520
Phone: (773) 762-0200
Fax: (773) 762-0201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021.001004 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.015877 (IL)

Record details

NPI number1356412530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PERIODONTIST
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESMarch 1, 2013

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