JACOB THOMAS PEREZ

CHICAGO, IL
NPI1114624244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.005603)
Enumeration Date2023-02-09
Last Update Date2023-02-09
Business Address
JACOB THOMAS PEREZ M.S, ATC, LAT
10001 S WOODLAWN AVE
CHICAGO, IL 60628-1696
Phone number: 773-291-6173
Mailing Address
JACOB THOMAS PEREZ M.S, ATC, LAT
638 LYNN AVE
ROMEOVILLE, IL 60446-1238
Phone number: