Doctor Name: | HILARIO DELPERAL |
NPI Number: | 1194957753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 085.003507 |
Business Practice Address: | 18931 W Washington St Suite 100 Grayslake, IL - 600301101 |
Business Phone Number: | 8475482200 |
Business Fax Number: | |
Mailing Address: | 18931 W Washington St, GRAYSLAKE |
State: | IL |
Postal Code: | 600301101 |
Phone Number: | 8475482200 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2009 |
NPI Last Update Date: | 06/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 085.003507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |