Individual
JOHN HOWARD PERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 S. 4TH AVE, ST CHARLES, IL 60174
(630) 584-2340
(630) 584-2825
Mailing address
215 S. 4TH AVE, ST. CHARLES, IL 60174
(630) 584-2340
(630) 584-2825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-081300
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081300
—
IL
Enumeration date
08/15/2006
Last updated
12/19/2011
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