Individual
RICARDO PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4N234 IL ROUTE 59, WEST CHICAGO, IL 60185-1247
(224) 209-7194
Mailing address
4N234 IL ROUTE 59, WEST CHICAGO, IL 60185-1247
(224) 209-7194
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
P621-7207-2026
IL
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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