MEDICARE: DR. JENNIFER PEREZ MD

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
1	208000000X	Pediatrics Physician	366084052	IL
2	208000000X	Pediatrics Physician	036122742	IL

General Provider Information

NPI Number	:	1689830077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER PEREZ MD

Provider Business Mailing Address
First Line	:	3319 N ASHLAND AVE STE 2400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2127
Country	:	US
Telephone Number	:	773-747-8501
Fax Number	:	773-747-8502

Provider Business Practice Location Address
First Line	:	3319 N ASHLAND AVE STE 2400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2127
Country	:	US
Telephone Number	:	773-747-8501
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	06/03/2026

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