# EUGENE PERGAMENT M.D.,P.C.

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

## Provider details

- **NPI number:** 1942425970
- **Authorized official:** TRACY A RADY CPC (BILLING)
- **Authorized official phone:** (847) 429-0571

## Contact information

- **Practice address:** 680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
- **Practice address phone:** (312) 981-4401
- **Mailing address:** 680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
- **Mailing address phone:** (312) 981-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SM0001X | Molecular Genetic Pathology (Medical Genetics) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01627910 | BCBS | IL |