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Individual

DR. ISAIAH J PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5470 W MADISON ST, CHICAGO, IL 60644-4031
(773) 287-7900
(773) 287-5923
Mailing address
7615 ROOSEVELT RD, APT.1, FOREST PARK, IL 60130-3002
(708) 488-1915

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059418
IL

Other

Enumeration date
07/25/2006
Last updated
04/17/2013
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