| NPI | 1962728386 |
|---|---|
| Former Legal Business Name | WALTER D PEREZ MD SC |
| Entity Type | Organization |
| Authorized Contact | WALTER D PEREZ President 630-757-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-097752) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042619155) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2011-02-16 |