Provider Demographics
NPI:1124146535
Name:PERRY L. KAMEL, M.D., S.C.
Entity type:Organization
Organization Name:PERRY L. KAMEL, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-573-9626
Mailing Address - Street 1:1944 N MAUD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4908
Mailing Address - Country:US
Mailing Address - Phone:312-573-9626
Mailing Address - Fax:312-573-9636
Practice Address - Street 1:259 E ERIE ST STE 1600
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3111
Practice Address - Country:US
Practice Address - Phone:312-573-9626
Practice Address - Fax:312-573-9636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042616682261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty