Organization
EUGENE PERGAMENT M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY A RADY CPC (BILLING)
(847) 429-0571
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
(312) 981-4401
Mailing address
680 N LAKE SHORE DR STE 1230, CHICAGO, IL 60611-4411
(312) 981-4401
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627910
BCBS
IL
Enumeration date
04/16/2007
Last updated
08/22/2020
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