Dimitri G. Perros, M.D., S.C.

LBN: Dimitri G. Perros, M.D., S.C.
Dimitri G. Perros, M.D., S.C. is an health care organization with primary practice located at 800 Austin St Suite 507, Evanston IL 60202-3439. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Dimitri G. Perros, M.D., S.C. can be contacted via phone (847) 864-7760, or through Perros, Dimitri G. via phone (847) 864-7760.

Contact Information

Primary practice address
800 Austin St Suite 507 Evanston IL 60202-3439
Phone: (847) 864-7760
Fax: (847) 864-0984
Website:
Map and Directions
Authorized official contact:
Name: Perros, Dimitri G. Doctor of Medicine (MD)
Phone: (847) 864-7760

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 042617544 Illinois

Profile Details

NPI number 1861674558
LBN Legal business name Dimitri G. Perros, M.D., S.C.
DBA Doing business as
Authorized official Perros, Dimitri G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 30th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861674558 NPPES
Illinois MEDICAID 036048039

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