Individual
DAMARIS PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4177 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 254-2222
(773) 254-8444
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
(773) 521-0223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
014392116
IL
363LF0000X
Family Nurse Practitioner
Primary
209015425
IL
Other
Enumeration date
11/16/2016
Last updated
02/07/2017
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