Individual
JAKE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(256) 425-2874
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
209.030054
IL
Other
Enumeration date
09/07/2021
Last updated
12/26/2024
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