Active NPI
Robert Perelman, MD
- Pediatrics Physician
- Elk Grove Village, IL
National Provider Identifier
1114283082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20881-020
- Practice address
- 141 NW Point Blvd
Elk Grove Village, IL 60007-1019 - Phone
- (847) 434-7898
- NPI assigned
- Apr 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20881-020 | WI | Primary |
Addresses
Primary practice location
141 NW Point Blvd
Elk Grove Village, IL 60007-1019
Mailing address
141 Northwest Point Blvd
Elk Grove Village, IL 60007-1098
Phone (847) 434-7898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20881-020 | WI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1114283082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 NORTHWEST POINT BLVD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600071098",
"telephone_number": "847-434-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 NW POINT BLVD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600071019",
"telephone_number": "847-434-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERELMAN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "20881-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.