Perry, Michael R

Perry, Michael R is an individual health care provider with primary practice located at 10 W Linden St , Freeport IL 61032-3310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perry, Michael R can be contacted via phone (815) 599-8414.

Contact Information

Primary practice address
10 W Linden St Freeport IL 61032-3310
Phone: (815) 599-8414
Fax: (815) 599-8469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036058493 Illinois

Profile Details

NPI number 1972579175
LBN Legal business name Perry, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 25th, 2017 - about 7 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 1972579175 NPPES
Illinois MEDICAID 036058493
Illinois MEDICAID L64158

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