# HORIZON DANTE PIMENTEL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DOCTOR DANTE PIMENTEL LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073567541
- **Legal business name:** DOCTOR DANTE PIMENTEL LTD
- **Authorized official:** DR. DANTE PIMENTEL M.D. (PRES.)
- **Authorized official phone:** (773) 736-4444

## Contact information

- **Practice address:** 4402 W LAWRENCE AVE, CHICAGO, IL 60630-2511
- **Practice address phone:** (773) 736-4444
- **Practice address fax:** (773) 283-4849
- **Mailing address:** 4402 W LAWRENCE AVE, CHICAGO, IL 60630-2511
- **Mailing address phone:** (773) 736-4444
- **Mailing address fax:** (773) 283-4849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036111599 | IL | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 02/21/2012