Individual provider · Type 1 NPI

Isaac Octavio Pimentel, PA

Surgical Physician Assistant · Glenview, IL

NPI number 1720289754 Active

Practice location

2100 Pfingsten Rd, Glenbrook Hospital
Glenview, IL 60026-1301

Call (847) 470-2402 Map

Fax (847) 657-1937

Mailing address

2650 Ridge Ave, Evanston Hospital
Evanston, IL 60201-1718

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1720289754

Isaac Octavio Pimentel, PA's National Provider Identifier is 1720289754, issued on May 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glenview, IL. The record was last updated on Jul 8, 2007.