OrganizationActive
Pentus Healtth Wabash LLC
NPI 1265234579 · Primary Care Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1265234579
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivan Reyes, Administrator(352) 304-4109
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 N Wabash Ave Ste 620
Chicago, IL 60602-1914
Phone: (352) 304-4109
Street-level locationGet directions
Mailing address
2273 Lee Rd Ste 101
Winter Park, FL 32789-7213
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-26
- Certified
- 2025-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.