Individual
LOURDES PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5103 PONTIGO GLEN DR, PLAINFIELD, IL 60586-4027
(815) 919-1947
Mailing address
5103 PONTIGO GLEN DR, PLAINFIELD, IL 60586-4027
(815) 919-1947
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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