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Individual

PAMELA M PERSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1331 W 75TH STREET, SUITE 300, NAPERVILLE, IL 60540
(630) 355-0003
(630) 355-9822
Mailing address
1331 W 75TH STREET, SUITE 300, NAPERVILLE, IL 60540
(630) 355-0003
(630) 355-9822

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036095440
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
948157500
MN
Enumeration date
11/30/2005
Last updated
05/09/2019
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