Individual
ERIC PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 N CONVENT ST STE 1, BOURBONNAIS, IL 60914-1081
(815) 937-5200
Mailing address
1615 N CONVENT ST STE 1, BOURBONNAIS, IL 60914-1081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041428396
IL
363L00000X
Nurse Practitioner
Primary
209.030477
IL
Other
Enumeration date
08/08/2024
Last updated
09/16/2024
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