Individual
ALICIA ELENA IDLER PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
211 E OHIO ST APT 503, CHICAGO, IL 60611-3220
(312) 608-0900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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