| Dante A. Pimentel, M.d., S.c. | |
|
6032 S Halsted St # 102 Chicago IL 60621-2112 | |
| (773) 651-9200 | |
| (773) 651-9203 |
| Full Name | Dante A. Pimentel, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6032 S Halsted St # 102, Chicago, Illinois |
| Authorized Official Name and Position | Dante Anthony Pimentel (PRESIDENT) |
| Authorized Official Contact | 7736519200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dante A. Pimentel, M.d., S.c. 6032 S Halsted St # 102 Chicago IL 60621-2112 Ph: (773) 651-9200 | Dante A. Pimentel, M.d., S.c. 6032 S Halsted St # 102 Chicago IL 60621-2112 Ph: (773) 651-9200 |
| NPI Number | 1720277791 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 8628021227 |
|---|---|
| Medicare Enrollment ID | O20050223000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720277791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Dante A Pimentel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972591527 PECOS PAC ID: 5597733014 Enrollment ID: I20040922000909 |
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