Healthcare Provider Details

I. General information

NPI: 1154247971
Provider Name (Legal Business Name): ERICH PERFETTI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W LAKE COOK RD STE 190
BUFFALO GROVE IL
60089-2084
US

IV. Provider business mailing address

915 BRUSH HILL LN
LAKE ZURICH IL
60047-2609
US

V. Phone/Fax

Practice location:
  • Phone: 847-979-0268
  • Fax:
Mailing address:
  • Phone: 847-287-6274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.032771
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: