Individual
JONATHAN D PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17800 KEDZIE AVE, CHICAGO, IL 60607
(708) 799-8000
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036113551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113551
—
IL
Enumeration date
07/20/2006
Last updated
08/02/2023
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