Healthcare Provider Details

I. General information

NPI: 1720929532
Provider Name (Legal Business Name): ARLENE PERRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14446 KENWOOD AVE
DOLTON IL
60419-1918
US

IV. Provider business mailing address

14446 KENWOOD AVE
DOLTON IL
60419-1918
US

V. Phone/Fax

Practice location:
  • Phone: 773-718-0858
  • Fax: 773-718-0858
Mailing address:
  • Phone: 773-718-0858
  • Fax: 773-718-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: