Individual
JOSE DANIEL PEREZ PORCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 296-5944
Mailing address
856 W NELSON ST APT 1905, CHICAGO, IL 60657-9204
(773) 313-5281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125057009
IL
208M00000X
Hospitalist Physician
2019043910
MO
Other
Enumeration date
07/31/2009
Last updated
12/04/2019
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