DAMARIS PERALTA

CHICAGO, IL
NPI1043752421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209015425)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  014392116)
Enumeration Date2016-11-16
Last Update Date2017-02-07
Business Address
-- DAMARIS PERALTA APN
4177 S ARCHER AVE
CHICAGO, IL 60632-1849
Phone number: 773-254-2222
Mailing Address
-- DAMARIS PERALTA APN
2875 W 19TH ST
CHICAGO, IL 60623-3501
Phone number: 773-484-1000