Perez, Pablo Ermelo G

Perez, Pablo Ermelo G is an individual health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Perez, Pablo Ermelo G can be contacted via phone (224) 783-3450.

Contact Information

Primary practice address
1425 N Randall Rd Elgin IL 60123-2300
Phone: (224) 783-3450
Fax: (224) 783-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22369 South Carolina
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 40524 Wisconsin
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 036-096278 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-096278 Illinois

Profile Details

NPI number 1578658993
LBN Legal business name Perez, Pablo Ermelo G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 30th, 2021 - about 4 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 1578658993 NPPES
Illinois Other 036096278 LICENSE
Illinois MEDICAID 223699 LICENSE

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