Individual
JAWAD PERVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-5870
(262) 948-4871
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
63684
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046203
—
WI
Enumeration date
03/24/2011
Last updated
07/16/2024
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