Individual
MANUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 BARRINGTON RD, SUITE 209, HOFFMAN ESTATES, IL 60194-1057
(847) 755-3255
(847) 252-7939
Mailing address
1575 BARRINGTON RD, SUITE 209, HOFFMAN ESTATES, IL 60194-1057
(847) 755-3255
(847) 252-7939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627135
BLUE CROSS BLUE SHIELD
IL
05
—
036082167
—
IL
Enumeration date
06/28/2006
Last updated
10/14/2008
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