Individual
DR. ELIZABETH MORA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 W RAND RD, MOUNT PROSPECT, IL 60056-1151
(847) 618-5400
(847) 618-3709
Mailing address
199 W RAND RD, MOUNT PROSPECT, IL 60056-1151
(847) 618-5400
(847) 618-3709
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036142417
IL
207Q00000X
Family Medicine Physician
A126085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036142417
STATE LICENSE
IL
01
—
P01496490
RAILROAD MEDICARE
CA
Enumeration date
06/14/2011
Last updated
05/10/2021
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