Provider Demographics
NPI:1346381647
Name:PRESTO, PERFECTO (MD)
Entity Type:Individual
Prefix:DR
First Name:PERFECTO
Middle Name:
Last Name:PRESTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 S CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4639
Mailing Address - Country:US
Mailing Address - Phone:773-265-7434
Mailing Address - Fax:
Practice Address - Street 1:775 S CEDAR AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4639
Practice Address - Country:US
Practice Address - Phone:773-265-7434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology