# MANUEL PEREZ, M.D.,S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053716795
- **Authorized official:** DR. MANUEL PEREZ M.D. (OWNER)
- **Authorized official phone:** (708) 465-4559

## Contact information

- **Practice address:** 19621 LA GRANGE RD, MOKENA, IL 60448-9360
- **Practice address phone:** (708) 465-4559
- **Mailing address:** 19934 WOLF RD, \#558, MOKENA, IL 60448-2101
- **Mailing address phone:** (708) 465-4559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036084064 | IL | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 12/20/2021