Individual
DR. LUIS ALBERTO PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1879 N MILWAUKEE AVE STE 1, CHICAGO, IL 60647-5689
(312) 429-6506
Mailing address
1879 N MILWAUKEE AVE STE 1, CHICAGO, IL 60647-5689
(312) 429-6506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031829
IL
Other
Enumeration date
12/23/2019
Last updated
05/01/2026
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