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General NPI Number Information
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NPI Number | 1992714034
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Entity Type | Individual
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Provider Name | JACK V. PINTO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 21481 N. RAND RD.
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City | KILDEER
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State | IL
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Zip | 60047-3061
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Country | US
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Telephone | 847-618-2500
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Fax | 847-618-2809
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Provider Business Mailing Address
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Address Line | 350 E CONGRESS PKWY STE E
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6284
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Country | US
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Telephone | 815-477-8900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036099818
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License Number State | IL
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