Individual
JACOB DANIEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSAT
Contact information
Practice address
347 S GLADSTONE AVE, AURORA, IL 60506-4877
(630) 892-6431
Mailing address
24063 S BURR RD, CHANNAHON, IL 60410-5205
(815) 545-2129
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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