# DR. DIMITRI G. PERROS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386659886
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036-048039 | IL | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 12/16/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036048039 | — | IL |
| 01 | — | 131051300 | US DEPT OF LABOR | IL |
| 01 | — | 180009714 | RAILROAD MEDICARE | IL |
| 01 | — | 21608516 | BLUECROSS BLUE SHIELD | ID |
| 01 | — | 4074893 | AETNA | IL |