Individual
JAY I PERLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
5000 S 5TH AVE, SURGERY SERVICE, HINES, IL 60141-3030
(708) 202-5134
(708) 202-2493
Mailing address
5000 S 5TH AVE, SURGERY SERVICE, HINES, IL 60141-3030
(708) 202-5134
(708) 202-2493
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036082464
IL
207ZN0500X
Neuropathology Physician
36082464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36082464
—
IL
Enumeration date
01/23/2006
Last updated
02/10/2015
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