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Perry Alexander Poulos, DO
Student in an Organized Health Care Education/Training Program in Carol Stream, Illinois
NPI 1609628486

Perry Alexander Poulos is a Student in an Organized Health Care Education/Training Program based in Carol Stream, IL. Perry Alexander Poulos practices in Carol Stream, IL and has the professional credentials of DO. The NPI Number for Perry Alexander Poulos is 1609628486 and holds a License No. (Illinois).

The current practice location address for Perry Alexander Poulos is 885 Hampton Dr, Carol Stream, IL and can be reached out via phone at 630-815-9856.

Location: 885 Hampton Dr, Carol Stream, IL, 60188-2977
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609628486
Provider Name
Perry Alexander Poulos
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
885 Hampton Dr, Carol Stream, IL, 60188-2977
Phone Number
630-815-9856
Fax Number
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
885 Hampton Dr
City
Carol Stream
State
Illinois
Zip
60188-2977
Phone Number
630-815-9856
Fax Number
person
Provider Business Mailing Address Details
Address
885 Hampton Dr
City
Carol Stream
State
Illinois
Zip
60188-2977
Phone Number
630-815-9856
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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