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

Individual provider Developmental Disabilities Clinic/Center · NPI 1699238170

Soreida Mamie Fennerr is a Developmental Disabilities Clinic/Center in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

7729 S Loomis Blvd
Chicago, IL 60620-3751
Phone: (773) 787-9278
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Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X (IL)

Record details

NPI number1699238170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESApril 10, 2019
Mailing address7729 S Loomis Blvd, Chicago, IL 60620-3751

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