Organization
DIMITRI G. PERROS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI G. PERROS M.D. (PRESIDENT)
(847) 864-7760
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, SUITE 507, EVANSTON, IL 60202-3439
(847) 864-7760
(847) 864-0984
Mailing address
800 AUSTIN ST, SUITE 507, EVANSTON, IL 60202-3439
(847) 864-7760
(847) 864-0984
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042617544
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048039
—
IL
Enumeration date
12/04/2007
Last updated
07/30/2010
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