Perlis, Michele S

Perlis, Michele S is an individual health care provider with primary practice located at 260 E Congress Pkwy , Crystal Lake IL 60014. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Perlis, Michele S can be contacted via phone (815) 477-0300.

Contact Information

Primary practice address
260 E Congress Pkwy Crystal Lake IL 60014
Phone: (815) 477-0300
Fax: (815) 477-0301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036080986 Illinois

Profile Details

NPI number 1245281054
LBN Legal business name Perlis, Michele S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Oct 19th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245281054 NPPES
Illinois Other 036080986 STATE LICENSE
Illinois MEDICAID 036080986 STATE LICENSE

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