Individual
JOHNNY PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5215 N CALIFORNIA AVE FL 7, CHICAGO, IL 60625-7014
(312) 666-3494
Mailing address
5215 N CALIFORNIA AVE FL 7, CHICAGO, IL 60625-7014
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
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