Individual
ISAAC OCTAVIO PIMENTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2100 PFINGSTEN RD, GLENBROOK HOSPITAL, GLENVIEW, IL 60026-1301
(847) 470-2402
(847) 657-1937
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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