Dr Dante Pimentel Ltd

LBN: Dr Dante Pimentel Ltd
Dr Dante Pimentel Ltd is an health care organization with primary practice located at 4403 W Lawrence Ave Suite : 200, Chicago IL 60630-2513. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Dr Dante Pimentel Ltd can be contacted via phone (773) 736-1555, or through Pimentel, Dante Anthony via phone (773) 736-1555.

Contact Information

Primary practice address
4403 W Lawrence Ave Suite : 200 Chicago IL 60630-2513
Fax: (773) 736-1552
Website:
Authorized official contact:
Name: Pimentel, Dante Anthony Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 036111599 Illinois

Profile Details

NPI number 1316105950
LBN Legal business name Dr Dante Pimentel Ltd
DBA Doing business as
Authorized official Pimentel, Dante Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316105950 NPPES
Illinois MEDICAID 036111599

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