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SOREIDA MAMIE FENNERR
NPI 1699238170
Clinic/Center - Developmental Disabilities in Chicago, IL

Active since April 10, 2019
7729 S LOOMIS BLVD, CHICAGO, IL 60620(773) 787-9278 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soreida Mamie Fennerr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOREIDA MAMIE FENNERR (NPI 1699238170) is an individual developmental disabilities provider in Chicago, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1699238170
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameSOREIDA MAMIE FENNERR
Location Address7729 S LOOMIS BLVDChicago, IL 60620-3751
Mailing Address7729 S Loomis BlvdChicago, IL 60620-3751 · (773) 787-9278
Phone(773) 787-9278
Sole ProprietorYes
Enumeration DateApril 10, 2019
✔ NPI 1699238170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
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.).
7729 S LOOMIS BLVD, Chicago, IL 60620
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soreida Fennerr's NPI number?

The NPI number for Soreida Fennerr is 1699238170. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Soreida Fennerr located?

Soreida Fennerr practices at 7729 S Loomis Blvd, Chicago, IL 60620. The listed phone number is (773) 787-9278.

What is Soreida Fennerr's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Soreida Fennerr was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.