Perez-Tamayo, Alejandra

Perez-Tamayo, Alejandra is an sole proprietor health care provider with primary practice located at 1801 W Taylor St 3F-Occ, Chicago IL 60612-4795. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Perez-Tamayo, Alejandra can be contacted via phone (312) 996-6883.

Contact Information

Primary practice address
1801 W Taylor St 3F-Occ Chicago IL 60612-4795
Phone: (312) 996-6883
Fax: (312) 413-1206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036065562 Illinois
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036065562 Illinois
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036065562 Illinois

Profile Details

NPI number 1134115231
LBN Legal business name Perez-Tamayo, Alejandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Mar 13th, 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 1134115231 NPPES
Illinois MEDICAID 036065562
Illinois Other P00129722
Illinois Other 21622027
Illinois Other 020052881
Illinois Other 202351

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