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Individual

PATRICIA A PIMENTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
180 W PARK AVE STE 260, ELMHURST, IL 60126-3372
(708) 997-4216
(844) 273-7876
Mailing address
180 W PARK AVE STE 260, ELMHURST, IL 60126-3372
(708) 643-4059
(844) 273-7876

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004014
IL
103G00000X
Clinical Neuropsychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1673508
BCBS
IL
Enumeration date
12/08/2006
Last updated
05/08/2025
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