Provider Demographics
NPI:1639331119
Name:PERLIN, BARRY E (DDS)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:E
Last Name:PERLIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 N LASALLE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-2501
Mailing Address - Country:US
Mailing Address - Phone:312-263-2323
Mailing Address - Fax:
Practice Address - Street 1:180 N LASALLE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-2501
Practice Address - Country:US
Practice Address - Phone:312-263-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL319-010019019-0207321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice