Organization
CHERYL PERLIS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL PERLIS MD (PRESIDENT)
(847) 295-5997
Entity
Organization
Contact information
Practice address
81 E SCRANTON AVE, LAKE BLUFF, IL 60044-2529
(847) 295-5997
Mailing address
81 E SCRANTON AVE, LAKE BLUFF, IL 60044-2529
(847) 295-5997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932307
BLUE SHIELD ID #
IL
Enumeration date
11/27/2007
Last updated
11/27/2007
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