Organization
MANUEL PEREZ, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL PEREZ M.D. (OWNER)
(708) 465-4559
Entity
Organization
Contact information
Practice address
19621 LA GRANGE RD, MOKENA, IL 60448-9360
(708) 465-4559
Mailing address
19934 WOLF RD, #558, MOKENA, IL 60448-2101
(708) 465-4559
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036084064
IL
Other
Enumeration date
10/23/2014
Last updated
12/20/2021
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