Healthcare Provider Details

I. General information

NPI: 1376428466
Provider Name (Legal Business Name): CLAIRE PERKOVICH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E ALGONQUIN RD
ARLINGTON HEIGHTS IL
60005-4373
US

IV. Provider business mailing address

605 E ALGONQUIN RD
ARLINGTON HEIGHTS IL
60005-4373
US

V. Phone/Fax

Practice location:
  • Phone: 224-325-1787
  • Fax:
Mailing address:
  • Phone: 224-325-1787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number041403764
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number041403764
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: