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NPI Code Detail

MEDICARE: DR. ELIZABETH PERRI PSY.D.

MEDICARE: DR. ELIZABETH PERRI PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2103TC0700XClinical Psychologist071.008585IL

General Provider Information

NPI Number : 1104106145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH PERRI PSY.D.
Provider Business Mailing Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 213 W INSTITUTE PL STE 500
Second Line :
City : CHICAGO
State : IL
Zip : 60610-8792
Country : US
Telephone Number : 312-607-5481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2011
Last Update Date : 03/19/2026

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