CLARA T PEREZ (NPI# 1316906464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316906464 |
Entity Type | Individual |
Full Name | CLARA T PEREZ |
Credential | MD |
Practice Address |
3235 Vollmer Rd Suite 137 Flossmoor IL 60422-2013 |
Mailing Address |
3855 W Estes Ave Lincolnwood IL 60712-1031 |
Practice Telephone | 7082061300 |
Practice Fax Number | 7082061399 |
Mailing Telephone | 7082061300 |
Mailing Fax Number | 7082061399 |
Enumeration Date | 2006-03-18 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | VALUEOPTIONS PROVIDER # | 018896 | 01 |
IL | COMPSYCH PROVIDER # | 119475 | 01 |
IL | HARMONY PROVIDER # | 166548 | 01 |
IL | AMERICAID PROVIDER # | 35928 | 01 |
IL | BCBS PROVIDER # | 31603879 | 01 |
IL | PSYCHEALTH PROVIDER # | 155000 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
1912517020 | Clara Ann Perez | Technician | 725 Stewart St, Welch, WV 24801-2125 | 2020-08-04 |
1134522972 | Clara Perez | Specialist | 7000 Austin St Ste 200, Forest Hills, NY 11375-4739 | 2014-10-08 |
Street Address |
3235 VOLLMER RD SUITE 137 |
City | FLOSSMOOR |
State | IL |
Zip Code | 60422-2013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730189259 | Marvin Zelkowitz | Specialist | 3235 Vollmer Rd, Suite 110, Flossmoor, IL 60422-2013 | 2005-07-27 |
1164831046 | Awakened Alternatives Inc. | Nursing Care | 3235 Vollmer Rd, Ste. 200, Flossmoor, IL 60422-2013 | 2014-08-05 |
1811248909 | Lisa Michelle Haglund | Social Worker | 3235 Vollmer Rd, Suite 137, Flossmoor, IL 60422-2013 | 2012-09-28 |
1750648408 | Thomas T. Chung M.d. P.C. | Specialist | 3235 Vollmer Rd, Suite 139, Flossmoor, IL 60422-2013 | 2012-04-19 |
1366733529 | Awakened Alternatives Enterprises | Case Management | 3235 Vollmer Rd, Suite 200, Flossmoor, IL 60422-2013 | 2011-04-22 |
1689877177 | John A. Grund | Dentist | 3235 Vollmer Rd, Flossmoor, IL 60422-2013 | 2007-06-11 |
1063539641 | South Suburban Neurology Ltd | Specialist | 3235 Vollmer Rd, Ste 110, Flossmoor, IL 60422-2013 | 2007-03-26 |
1033234992 | Susan Vorwerk Mat Ccc Slp Speech & Language Pathology Services PC | Speech-Language Pathologist | 3235 Vollmer Rd, Suite 104, Flossmoor, IL 60422-2013 | 2007-03-20 |
1821128141 | Susan Jane Richard Vorwerk | Speech-Language Pathologist | 3235 Vollmer Rd, Suite 104, Flossmoor, IL 60422-2013 | 2007-03-06 |
1174678684 | Patrick L Mcginnis | Internal Medicine | 3235 Vollmer Rd, Suite 120, Flossmoor, IL 60422-2013 | 2007-01-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194763433 | Andrea Bacon | Psychiatry & Neurology | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2006-06-02 |
1922085695 | Mahim K Vora | Psychiatry & Neurology | 3235 Vollmer Road, Suite 119, Flossmoor, IL 60426 | 2005-12-23 |
1952677718 | Evaldas Radzevicius P.C. | Psychiatry & Neurology | 19550 Governors Hwy, Suite 3700, Flossmoor, IL 60422-2125 | 2012-03-27 |
1295897791 | Roxane Y Sanders | Psychiatry & Neurology | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2006-12-14 |
1598840936 | Family Child & Adolescent Psychiatric Services Sc | Psychiatry & Neurology | 3235 Vollmer Rd, Suite 137, Flossmoor, IL 60422-2013 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346840659 | Amelia Mari Merz | Psychiatry & Neurology | 1101 Lake St Ste 201b, Oak Park, IL 60301-1046 | 2020-10-27 |
1063024925 | Mindful Psychiatric Care LLC | Psychiatry & Neurology | 120 E Ogden Ave Ste 101, Hinsdale, IL 60521-3892 | 2020-08-20 |
1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
1629694278 | Montes Psychiatric Center, P.C. | Psychiatry & Neurology | 717 Trent Ln, Loves Park, IL 61111-8956 | 2020-06-19 |
1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.