Gaetano Fernando Perego M.D

NPI 1003885005 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1003885005
Gender Male
Enumeration Date 03/14/2006
Last Updated 02/17/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
966 W 21ST ST
CHICAGO IL, 60608-4511, US
Phone (773) 254-1400
Fax
Business Location
1934 S PRAIRIE AVE
APT 3
CHICAGO IL, 60616-1321, US
Phone (312) 450-3135
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Illinois
License Number 036104061
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According to our database, Dr. Gaetano Fernando Perego M.D NPI is 1003885005, taxonomy code is 207V00000X and license number is 036104061, license state is located at Illinois. Gaetano Fernando Perego M.D physically located at 966 W 21st St, Chicago IL, 60608-4511. NPI Number Gaetano Fernando Perego M.D has the Individual type.

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1003885005 NPI number is provided on an as is basis without warranty of any kind. 1003885005 is maintained by the National Plan & Provider Enumeration System. The contents of Gaetano Fernando Perego M.D are for informational purposes only.