Individual
MR. RICARDO PERALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5556 W 77TH ST, BURBANK, IL 60459-1300
(773) 892-2132
Mailing address
5556 W 77TH ST, BURBANK, IL 60459
(773) 892-2132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096003601
IL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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