Individual
TODD A PERMUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 834-4064
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 955-1677
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D80432
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088080
—
IL
Enumeration date
12/27/2006
Last updated
11/18/2015
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