Individual
DR. KELLY LYNN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
820 S DAMEN AVE, PHARMACY SERVICE 119, CHICAGO, IL 60612-3728
(312) 569-7587
Mailing address
575 W MADISON ST, APT 802, CHICAGO, IL 60661-2515
(618) 406-7192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293570
IL
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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