Individual
JACOB THOMAS PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, ATC, LAT
Contact information
Practice address
10001 S WOODLAWN AVE, CHICAGO, IL 60628-1696
(773) 291-6173
Mailing address
638 LYNN AVE, ROMEOVILLE, IL 60446-1238
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.005603
IL
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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