Active NPI
Alicia E Idler-Perez, MD
- Pediatric Adolescent Medicine Physician
- Milwaukee, WI
National Provider Identifier
1770838641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 57249-20
- Practice address
- 1308 S 16TH St
Milwaukee, WI 53204-2711 - Phone
- (414) 831-0100
- Fax
- (414) 831-1584
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036127501 | IL | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 57249-20 | WI | Primary |
Addresses
Primary practice location
1308 S 16TH St
Milwaukee, WI 53204-2711
Mailing address
8532 W Capitol Dr
Milwaukee, WI 53222-1848
Phone (414) 463-2607
Other practice location 1
2701 Patriot Blvd Ste 200
Glenview, IL 60026-8039
Phone (312) 926-7337
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036127501 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esperanza Health Centers | Current | Accepting new patients | |
| Esperanza Health Centers | Current | Accepting new patients | |
| Esperanza Health Centers | Current | Accepting new patients |
Locations
2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785
2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201
Interoperability endpoints
- alicia.idler.perez.1@11903.direct.athenahealth.com
- https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124187125
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1477812030
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1659127199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1770838641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8532 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221848",
"telephone_number": "414-463-2607",
"fax_number": "414-463-6743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042711",
"telephone_number": "414-831-0100",
"fax_number": "414-831-1584"
}
],
"practiceLocations": [
{
"address_1": "2701 Patriot Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600268039",
"country_code": "US",
"telephone_number": "312-926-7337",
"fax_number": "847-998-9077",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IDLER-PEREZ",
"first_name": "ALICIA",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036127501",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "WI",
"license": "57249-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.