Perez, Clara T
Perez, Clara T is an individual health care provider with primary practice located at 1 Old Frankfort Way , Frankfort IL 60423-1719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Perez, Clara T can be contacted via phone (708) 206-1300.Contact Information
Primary practice address
1 Old Frankfort Way
Frankfort IL 60423-1719
Phone: (708) 206-1300
Fax: (708) 206-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036067468 | Illinois |
Profile Details
| NPI number | 1316906464 |
|---|---|
| LBN Legal business name | Perez, Clara T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | May 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316906464 | NPPES |
| Illinois | Other | 155000 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 31603879 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 018896 | PSYCHEALTH PROVIDER # |
| Illinois | MEDICAID | 036067468 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 31603579 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 35928 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 363762147 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 119475 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 166548 | PSYCHEALTH PROVIDER # |
| Illinois | Other | 036067468 | PSYCHEALTH PROVIDER # |
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