MEDICARE: LAURA PERELMAN PSYCHOTHERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447101886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAURA PERELMAN PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	5044 N RAVENSWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2723
Country	:	US
Telephone Number	:	773-273-9345
Fax Number	:	262-586-6704

Provider Business Practice Location Address
First Line	:	4312 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-1712
Country	:	US
Telephone Number	:	773-273-9345
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAURA PERELMAN
Credential	:	LCSW
Telephone Number	:	773-273-9345

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	04/17/2026

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