Perez, Julieta P

Perez, Julieta P is an sole proprietor health care provider with primary practice located at 2923 N Milwaukee Ave Ste 302 , Chicago IL 60618-7886. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Perez, Julieta P can be contacted via phone (773) 567-9763.

Contact Information

Primary practice address
2923 N Milwaukee Ave Ste 302 Chicago IL 60618-7886
Phone: (773) 567-9763
Fax: (312) 873-4749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1588958128
LBN Legal business name Perez, Julieta P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2011
Last updated Jul 15th, 2022 - about 2 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 1588958128 NPPES
Illinois Other 149.016540 LICENSE CLINICAL SOCIAL WORKER

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