Provider Demographics
NPI:1144465386
Name:JIMENEZ, DANIEL D (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:D
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2650 RIDGE AVE # 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-982-3175
Mailing Address - Fax:847-982-3394
Practice Address - Street 1:155 E BRUSH HILL RD
Practice Address - Street 2:EMERGENCY MEDICINE
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5658
Practice Address - Country:US
Practice Address - Phone:847-982-3175
Practice Address - Fax:847-982-3394
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2025-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-122152207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine