Active NPI
Hospital Services Group LLC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1346586096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036111599
- Legal business name
- HOSPITAL SERVICES GROUP LLC
- Practice address
- 326 W 64TH St
3Rd Floor
Chicago, IL 60621-3114 - Phone
- (630) 596-7654
- NPI assigned
- Dec 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dante Pimentel
- Title
- Organizer
- Phone
- (630) 596-7654
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036111599 | IL | Primary |
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
326 W 64TH St
3Rd Floor
Chicago, IL 60621-3114
Mailing address
326 W 64TH St
3Rd Floor
Chicago, IL 60621-3114
National Provider Directory
National Provider DirectoryLocations
326 W 64th St
Ste 310
Chicago, IL 60621
326 W 64th St
Fl 3
Chicago, IL 60621
Phone (224) 659-7030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1346586096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114",
"telephone_number": "630-596-7654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL SERVICES GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-28",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "PIMENTEL",
"authorized_official_first_name": "DANTE",
"authorized_official_title_or_position": "ORGANIZER",
"authorized_official_telephone_number": "630-596-7654",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036111599",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.