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Individual

ELSA JOSEFINA PIMENTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1243 W WESTGATE TER, CHICAGO, IL 60607-3306
(773) 396-4782
Mailing address
1243 W WESTGATE TER, CHICAGO, IL 60607-3306
(773) 396-4782

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
IL

Other

Enumeration date
08/15/2024
Last updated
08/15/2024
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