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NPI Code Detail

MEDICARE: CAROL PEREZ

MEDICARE: CAROL 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1982591517
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL PEREZ
Provider Business Mailing Address
First Line : 370 NORMAN CT
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-2441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4141 N KEDZIE AVE STE 2
Second Line :
City : CHICAGO
State : IL
Zip : 60618-2479
Country : US
Telephone Number : 773-754-0577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2025
Last Update Date : 06/18/2025

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Directions to “ CAROL PEREZ ” Practice Location

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