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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 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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