Individual
DANA C. PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
101 S MAJOR ST, EUREKA, IL 61530-1246
(309) 304-2100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036071807
IL
Other
Enumeration date
08/15/2005
Last updated
06/14/2016
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