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

Individual provider Pediatrics Physician · NPI 1417478629

Johana B Gimenezrodriguez, MD is a Pediatrics Physician in Chicago, Illinois. Works from 4 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1276 N Clybourn Ave
Chicago, IL 60610-2003
Phone: (312) 337-1073
Fax: (312) 337-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4116 N Lincoln Ave, Chicago, IL 60618-3028 — (773) 883-2350
  • 15 Founders Ln Ste 100, Jacksonville, IL 62650-3924 — (217) 243-0300
  • 4500 Parsons Blvd, Flushing, NY 11355-2205 — (718) 670-5535

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.152253 (IL)

Record details

NPI number1417478629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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