IndividualActive
Soreida Fennerr
NPI 1699238170 · Developmental Disabilities Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1699238170
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7729 S Loomis Blvd
Chicago, IL 60620-3751
Phone: (773) 787-9278
Approximate (ZIP-level) locationGet directions
Mailing address
7729 S Loomis Blvd
Chicago, IL 60620-3751
Registry dates
- Enumerated
- 2019-04-10
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.