Individual
CLARA T PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036067468
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018896
VALUEOPTIONS PROVIDER #
IL
01
—
036067468
LICENSE #
IL
05
—
036067468
—
IL
01
—
119475
COMPSYCH PROVIDER #
IL
01
—
155000
PSYCHEALTH PROVIDER #
IL
01
—
166548
HARMONY PROVIDER #
IL
01
—
31603579
BCBS
IL
01
—
31603879
BCBS PROVIDER #
IL
01
—
35928
AMERICAID PROVIDER #
IL
01
—
363762147
TAX ID #
IL
Enumeration date
03/18/2006
Last updated
05/11/2021
Update your record
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