Individual
JOHNNY PEREZ
Active
Individual
JOHNNY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041392887
IL
363LF0000X
Family Nurse Practitioner
Primary
209028143
IL
Other
Enumeration date
06/21/2022
Last updated
09/06/2023
Update your record
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