Persak, Pamela M

Persak, Pamela M is an individual health care provider with primary practice located at 1331 W 75Th Street Suite 300, Naperville IL 60540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Persak, Pamela M can be contacted via phone (630) 355-0003.

Contact Information

Primary practice address
1331 W 75Th Street Suite 300 Naperville IL 60540
Fax: (630) 355-9822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036095440 Illinois

Profile Details

NPI number 1437133766
LBN Legal business name Persak, Pamela M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated May 9th, 2019 - about 7 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 1437133766 NPPES
Minnesota MEDICAID 948157500

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