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NPI Code Detail

MEDICARE: LUZ ALEXANDRA PEREZ HERRERA

MEDICARE: LUZ ALEXANDRA PEREZ HERRERA
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
1171M00000XCase Manager/Care CoordinatorIL

General Provider Information

NPI Number : 1811848849
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUZ ALEXANDRA PEREZ HERRERA
Provider Business Mailing Address
First Line : 4442 S CALIFORNIA AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60632-1982
Country : US
Telephone Number : 773-341-8830
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W 35TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60609-1309
Country : US
Telephone Number : 708-613-7862
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ LUZ ALEXANDRA PEREZ HERRERA ” Practice Location

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