Active NPI
Jessica Annette Perez, NP
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
National Provider Identifier
1487312211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209.024422
- Practice address
- 1431 N Claremont Ave
Chicago, IL 60622-1702 - Phone
- (312) 491-5498
- Fax
- (312) 491-5012
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209.024422 | IL | Primary |
Addresses
Primary practice location
1431 N Claremont Ave
Chicago, IL 60622-1702
Mailing address
1431 N Claremont Ave
Chicago, IL 60622-1702
Phone (312) 491-5498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024422 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glaser and Associates LLC | Current | Accepting new patients |
Locations
1431 N Claremont Ave
Fl 1
Chicago, IL 60622
Phone (312) 491-5498
1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498
1431 N Western Ave
Ste 306
Chicago, IL 60622
Phone (312) 332-2226
6428 Joliet Rd
Ste 201
Countryside, IL 60525
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1326567058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1487312211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 N CLAREMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221702",
"telephone_number": "312-491-5498",
"fax_number": "312-491-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 N CLAREMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221702",
"telephone_number": "312-491-5498",
"fax_number": "312-491-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JESSICA",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209.024422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.