Individual
CHARLES PERROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 328-7744
Mailing address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2000
(312) 328-7744
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-102223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102223
—
IL
Enumeration date
07/08/2006
Last updated
08/23/2007
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