Perez, Ricardo

Perez, Ricardo is an sole proprietor health care provider with primary practice located at 2215 Oak Park Ave , Berwyn IL 60402-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Ricardo can be contacted via phone (708) 788-0101.

Contact Information

Primary practice address
2215 Oak Park Ave Berwyn IL 60402-2220
Phone: (708) 788-0101
Fax: (708) 788-0109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036108945 Illinois

Profile Details

NPI number 1124095757
LBN Legal business name Perez, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Apr 24th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124095757 NPPES
Illinois MEDICAID 036108945

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