Healthcare Provider Details

I. General information

NPI: 1043128895
Provider Name (Legal Business Name): STELA PEROJEVIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10412 S CICERO AVE
OAK LAWN IL
60453-4704
US

IV. Provider business mailing address

5933 W 89TH ST
OAK LAWN IL
60453-1106
US

V. Phone/Fax

Practice location:
  • Phone: 708-905-8122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.040873
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: