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NPI Code Detail

MEDICARE: EDGAR PEREZ

MEDICARE: EDGAR PEREZ
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1811826159
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDGAR PEREZ
Provider Business Mailing Address
First Line : 901 BIESTERFIELD RD STE 110
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3393
Country : US
Telephone Number : 708-533-9667
Fax Number :
Provider Business Practice Location Address
First Line : 901 BIESTERFIELD RD STE 110
Second Line :
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3393
Country : US
Telephone Number : 708-533-9667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2026
Last Update Date : 05/14/2026

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Directions to “ EDGAR PEREZ ” Practice Location

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