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Individual

DR. VINCENT ANTHONY PERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3115 N HARLEM AVE, STE 200, CHICAGO, IL 60634-4684
(773) 836-9900
(773) 836-9935
Mailing address
3115 N HARLEM AVE, STE 200, CHICAGO, IL 60634-4684
(773) 836-9900
(773) 836-9935

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002468
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016002468
IL
Enumeration date
05/24/2005
Last updated
10/01/2013
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