Individual
EMMANUEL Y PERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24 E CHICAGO AVE, CHICAGO, IL 60611-2009
(312) 951-9700
(312) 951-6989
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023140
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070023140
STATE LICENSE
IL
Enumeration date
08/17/2017
Last updated
02/16/2022
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