Provider Demographics
NPI:1215098108
Name:DRS PERRY & DARMON PC
Entity type:Organization
Organization Name:DRS PERRY & DARMON PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRINCIPAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:DARMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:847-741-1165
Mailing Address - Street 1:2001 LARKIN AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-741-1165
Mailing Address - Fax:847-741-1166
Practice Address - Street 1:2001 LARKIN AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-741-1165
Practice Address - Fax:847-741-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Single Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty