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NPI Code Detail

MEDICARE: ERIC PEREZ M.D.

MEDICARE:   ERIC  PEREZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0106XOrthopaedic Hand Surgery Physician036153735IL

General Provider Information

NPI Number : 1972918142
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC PEREZ M.D.
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 3021 N SHEFFIELD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4419
Country : US
Telephone Number : 872-843-0550
Fax Number : 872-843-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2014
Last Update Date : 11/29/2023

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