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NPI Code Detail

MEDICARE: ADEM PEREZIC RN

MEDICARE:   ADEM  PEREZIC  RN
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
1163W00000XRegistered Nurse041483702IL

General Provider Information

NPI Number : 1922964287
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADEM PEREZIC RN
Provider Business Mailing Address
First Line : 698 JARVIS AVE
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2654
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2650 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-570-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ ADEM PEREZIC RN” Practice Location

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