NPIMap

Organization Active NPI

Perez Health, Incorporated

  • Family Medicine Physician
  • Berwyn, IL
National Provider Identifier
1306090212
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036108945 Issued in IL
Legal business name
PEREZ HEALTH, INCORPORATED
Practice address
6842 W. Cermak Road
Berwyn, IL 60402-2240
Phone
(708) 788-0101
Fax
(708) 788-0109
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Maria R Perez
Title
President
Phone
(708) 788-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036108945 IL Primary

Addresses

Primary practice location

6842 W. Cermak Road
Berwyn, IL 60402-2240

Mailing address

PO Box 1451
North Riverside, IL 60546-0851
Phone (708) 788-0101

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1306090212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605460851",
            "telephone_number": "708-788-0101",
            "fax_number": "708-788-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 W. CERMAK ROAD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022240",
            "telephone_number": "708-788-0101",
            "fax_number": "708-788-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEREZ HEALTH, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-0101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.