Individual
EDGAR SAMUEL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1477 E OAKTON ST, DES PLAINES, IL 60018-2119
(847) 824-2200
(847) 299-1054
Mailing address
1477 E OAKTON ST, DES PLAINES, IL 60018-2119
(847) 824-2200
(847) 299-1054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
46007814
IL
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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