Perros, Dimitri G.

Perros, Dimitri G. is an sole proprietor health care provider with primary practice located at 800 Austin St Suite 507, Evanston IL 60202-3439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Perros, Dimitri G. can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-048039 Illinois

Profile Details

NPI number 1386659886
LBN Legal business name Perros, Dimitri G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Dec 16th, 2010 - about 16 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 1386659886 NPPES
Illinois MEDICAID 036048039
Illinois Other 131051300
Illinois Other 4074893
Illinois Other 180009714
Illinois Other 21608516

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