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Organization

A TO Z PEDIATRIC AND YOUTH HEALTHCARE

Active
Other names
WALTER D PEREZ MD SC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WALTER D PEREZ MD (PRESIDENT)
(630) 757-4010
Entity
Organization

Contact information

Practice address
721 W LAKE ST, SUITE 202, ADDISON, IL 60101-2035
(630) 757-4010
(630) 757-4011
Mailing address
721 W LAKE ST, SUITE 202, ADDISON, IL 60101-2035
(630) 757-4010
(630) 757-4011

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036-097752
IL
261QP2300X
Primary Care Clinic/Center
042619155
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03-6097752
IL
Enumeration date
04/09/2010
Last updated
02/16/2011
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