Individual
DR. MIGUEL HUGO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1411 W IRVING PARK RD, CHICAGO, IL 60613-1920
(773) 404-8030
Mailing address
5404 N HOYNE AVE, CHICAGO, IL 60625-1112
(773) 936-8030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01921518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003298
—
IL
Enumeration date
11/21/2006
Last updated
07/08/2007
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