Gabriela Jacquez-Jimenez, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057001651 Issued in IL

Practice address

1740 W Taylor St
Chicago, IL 60612-7250

Phone

(312) 403-0883

NPI assigned

Dec 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1992034169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127250",
            "telephone_number": "312-403-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127250",
            "telephone_number": "312-403-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEZ-JIMENEZ",
        "first_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rodriguez, DMD, P.C.
• Jacques Gourguechon, LPC
• Kristianna E Jacques, LCSW
• Rachele' Jacques, PHLEBOTOMIST AND MED
• Imani Jacquet
• Ofelia Jaczko
• Jada J Johnson MD
• Firas Jadaan, MD
• Tekoa Jaddua, LPC
• Jade Albin Counseling, LLC

• Occupational Therapy Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.