Organization
PIMENTEL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTER M PIMENTEL M.D. (C.E.O)
(630) 788-7576
Entity
Organization
Contact information
Practice address
321 LAKE GILLILAN WAY, ALGONQUIN, IL 60102-4284
(630) 788-7576
Mailing address
321 LAKE GILLILAN WAY, ALGONQUIN, IL 60102-4284
(630) 788-7576
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042364
—
IL
Enumeration date
11/30/2009
Last updated
11/30/2009
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