Healthcare Provider Details

I. General information

NPI: 1245238344
Provider Name (Legal Business Name): NEIL PERLMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2341 W ROSCOE ST APT 3E
CHICAGO IL
60618-6200
US

IV. Provider business mailing address

2341 W ROSCOE ST APT 3E
CHICAGO IL
60618-6200
US

V. Phone/Fax

Practice location:
  • Phone: 847-571-0912
  • Fax: 610-638-0738
Mailing address:
  • Phone: 847-571-0912
  • Fax: 610-638-0738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36083166
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: