Individual
CAROL PERENCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
934 CENTER ST, SHERMAN HOSPITAL EMERGENCY DEPARTMENT, ELGIN, IL 60120-2125
(847) 429-8750
(847) 429-8978
Mailing address
480 E BROADWAY AVE, CRYSTAL LAKE, IL 60014-7102
(815) 477-9577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000834
IL
Other
Enumeration date
07/19/2005
Last updated
10/26/2009
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