Search › Illinois › 122300000X
Luis Peralta, DMD
NPI 1619516556 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1879 N Milwaukee Ave Ste 1
Chicago, IL 60647 - Phone
- (312) 429-6506
- Organisation at this address
- Kintsugi Group Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 698 E Burrell Dr, Crown Point, IN
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois