Individual
ITAY PERETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1010 EXECUTIVE DR, SUITE 250, WESTMONT, IL 60559-6135
(630) 920-2350
(630) 323-5625
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 920-2350
(630) 323-5625
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000456
IL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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