Individual
AERI PAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.148877
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2016
Last updated
12/26/2019
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