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Soreida Mamie Fennerr
Developmental Disabilities Clinic/Center in Chicago, Illinois
NPI 1699238170

Soreida Mamie Fennerr is a Developmental Disabilities Clinic/Center based in Chicago, IL and is specialized in Developmental Disabilities. Soreida Mamie Fennerr practices in Chicago, IL. The NPI Number for Soreida Mamie Fennerr is 1699238170 and holds a License No. (Illinois).

The current practice location address for Soreida Mamie Fennerr is 7729 S Loomis Blvd, Chicago, IL and can be reached out via phone at 773-787-9278.

Location: 7729 S Loomis Blvd, Chicago, IL, 60620-3751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699238170
Provider Name
Soreida Mamie Fennerr
Credential
Provider Entity Type
Individual
Gender
Female
Address
7729 S Loomis Blvd, Chicago, IL, 60620-3751
Phone Number
773-787-9278
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7729 S Loomis Blvd
City
Chicago
State
Illinois
Zip
60620-3751
Phone Number
773-787-9278
Fax Number
person
Provider Business Mailing Address Details
Address
7729 S Loomis Blvd
City
Chicago
State
Illinois
Zip
60620-3751
Phone Number
773-787-9278
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Illinois)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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