Individual
MR. LAMORRIS L PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 W. WASHINGTON BLVD M/C 698, CHICAGO, IL 60612-2428
(312) 996-2000
(312) 413-7812
Mailing address
1818 HEATHER HILL, FLOSSMOOR, IL 60422
(773) 233-4100
(773) 233-8542
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036069919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069919
—
IL
Enumeration date
08/28/2006
Last updated
02/08/2012
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