Perillo, Kelly

Perillo, Kelly is an individual health care provider with primary practice located at 303 W Ogden Ave , Westmont IL 60559-1419. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Perillo, Kelly can be contacted via phone (630) 967-2227.

Contact Information

Primary practice address
303 W Ogden Ave Westmont IL 60559-1419
Phone: (630) 967-2227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085000763 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000763 Illinois

Profile Details

NPI number 1194711838
LBN Legal business name Perillo, Kelly
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 25th, 2023 - about 2 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 1194711838 NPPES
Illinois MEDICAID 085000763
Illinois Other 970003572

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