Organization
MANUEL PEREZ, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL PEREZ M.D. (PRESIDENT)
(847) 755-3255
Entity
Organization
Contact information
Practice address
1575 BARRINGTON RD, SUITE 209, HOFFMAN ESTATES, IL 60194-1057
(847) 755-3255
Mailing address
1575 BARRINGTON RD, SUITE 209, HOFFMAN ESTATES, IL 60194-1057
(847) 755-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082167
—
IL
01
—
1627135
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/11/2006
Last updated
08/20/2008
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