Individual
LAURA ANN PERRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 346-3287
Mailing address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0003751
CO
363AS0400X
Surgical Physician Assistant
Primary
085005321
IL
Other
Enumeration date
07/24/2013
Last updated
08/18/2015
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