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Perry Alexander Poulos, D.O.

Student in an Organized Health Care Education/Training Program in Carol Stream, IL. Individual provider (NPI-1).

NPI number1609628486
StatusActive
Last updated in NPPESApr 4, 2024

Details

NPI
1609628486
Entity type
Individual (NPI-1)
Name
Perry Alexander Poulos
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2024
Certification date
Apr 3, 2024
Last updated
Apr 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

885 Hampton Dr
Carol Stream, IL 60188-2977

Phone 630-815-9856

Mailing address

885 Hampton Dr
Carol Stream, IL 60188-2977

Phone 630-815-9856

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Other Student in an Organized Health Care Education/Training Program providers in Carol Stream, IL

All 8 Student in an Organized Health Care Education/Training Program providers in Carol Stream · All 547 providers in Carol Stream

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