Dimitri G. Perros, M.D., S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

042617544 Issued in IL

Legal business name

DIMITRI G. PERROS, M.D., S.C.

Practice address

800 Austin St
Suite 507
Evanston, IL 60202-3439

Phone

(847) 864-7760

Fax

(847) 864-0984

NPI assigned

Dec 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dimitri G. Perros, M.D.

Title

President

Phone

(847) 864-7760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marybell Ramirez, APRN-FPA, FNP-C

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1558833699
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1861674558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 507",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-864-7760",
            "fax_number": "847-864-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "SUITE 507",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-864-7760",
            "fax_number": "847-864-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI G. PERROS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "PERROS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-864-7760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "042617544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048039",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamil B Dihu, D.O.
• Lisa Marie Dilich, RPH
• Jazmine B Dillard, D.D.S
• Melvin Laurel Dillard III, DDS
• Terrence Dillon
• Christopher Ding, MD
• Mara Dinsmoor, MD, MPH
• Kirsis Allennys Dipre, LPC, NCC
• Beth N Diviacchi, FNP-C
• Alison S Dixon, LCSW

• Ophthalmology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.