Organization Active NPI

Dante a. Pimentel, M.D., S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1720277791
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANTE A. PIMENTEL, M.D., S.C.
Practice address
6032 S Halsted St # 102
Chicago, IL 60621-2112
Phone
(773) 651-9200
Fax
(773) 651-9203
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dante Anthony Pimentel, M.D.
Title
President
Phone
(773) 651-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

6032 S Halsted St # 102
Chicago, IL 60621-2112

Mailing address

6032 S Halsted St # 102
Chicago, IL 60621-2112
Phone (773) 651-9200

National Provider Directory

National Provider Directory

Locations

6032 S Halsted St
#102
Chicago, IL 60621
Phone (773) 651-9200

6032 S Halsted St
Ste 102
Chicago, IL 60621
Phone (773) 651-9200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1720277791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 S HALSTED ST # 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212112",
            "telephone_number": "773-651-9200",
            "fax_number": "773-651-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 S HALSTED ST # 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212112",
            "telephone_number": "773-651-9200",
            "fax_number": "773-651-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANTE A. PIMENTEL, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "PIMENTEL",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-651-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.