Pimentel, Dante Anthony

Pimentel, Dante Anthony is an sole proprietor health care provider with primary practice located at 6032 S Halsted St Suite 102, Chicago IL 60621-2112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pimentel, Dante Anthony can be contacted via phone (773) 651-9200.

Contact Information

Primary practice address
6032 S Halsted St Suite 102 Chicago IL 60621-2112
Phone: (773) 651-9200
Fax: (773) 651-9203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036111599 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036111599 Illinois

Profile Details

NPI number 1972591527
LBN Legal business name Pimentel, Dante Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2005
Last updated Jul 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972591527 NPPES
Illinois Other 1634551 BLUE CROSS BLUE SHIELD
Illinois Other P00340190 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036111599 BLUE CROSS BLUE SHIELD
Illinois Other 211054 BLUE CROSS BLUE SHIELD

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