Organization · Type 2 NPI
Horizon Dante Pimentel
Medical Specialty Clinic/Center · Chicago, IL
Practice location
4402 W Lawrence Ave
Chicago, IL 60630-2511
Fax (773) 283-4849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 036111599 (IL) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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About NPI 1073567541
Horizon Dante Pimentel's National Provider Identifier is 1073567541, issued on May 20, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Chicago, IL. The record was last updated on Feb 21, 2012.