Individual
MS. THEISHA Y PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
364 TORRENCE AVE, CALUMET CITY, IL 60409
(708) 868-9457
(708) 868-6910
Mailing address
9119 S EXCHANGE AVE, 9718 S. HALSTED, CHICAGO, IL 60617-4225
(773) 768-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036106661
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106661
—
IL
Enumeration date
08/28/2006
Last updated
01/27/2016
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