DR. ROSA NELLY PEREZ (NPI# 1407143944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407143944 |
| Entity Type | Individual |
| Full Name | DR. ROSA NELLY PEREZ |
| Credential | M.D. |
| Practice Address |
2511 N Kedzie Blvd Amg-logan Square Chicago IL 60647-2603 |
| Mailing Address |
2511 N Kedzie Blvd Chicago IL 60647-2603 |
| Practice Telephone | 7732922700 |
| Practice Fax Number | 7732921536 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036135421 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268340 | Rosa Iris Perez | Pharmacy Technician | Bo Buen Consejo, 211 San Rafael, San Juan, PR 00926-1609 | 2020-06-04 |
| 1164954459 | Rosa Angelica Perez | Specialist/Technologist | 1409 Mile 10 N, Donna, TX 78537-8143 | 2017-03-28 |
| 1649698465 | Rosa Perez | Home Health | 3935 Port Sea Pl, Kissimmee, FL 34746-1810 | 2014-03-29 |
| 1962836940 | Rosa H. Perez | Psychologist | Calle Eleanor Roosevelt Num 232, Suite 113, San Juan, PR 00918 | 2013-08-27 |
| 1255763918 | Rosa I Perez | Nurse Practitioner | 2557 N Veterans Blvd Ste A, Eagle Pass, TX 78852-3390 | 2013-08-05 |
| 1366766545 | Rosa Perez | Counselor | 6890 Chestnut Steet, Gilroy, CA 95020 | 2010-03-17 |
| 1194964148 | Rosa Maria Perez | Social Worker | 3915 Orloff Ave, Apt 9b, Bronx, NY 10463-2622 | 2009-02-16 |
| 1104471218 | Rosa Perez | Speech-Language Pathologist | 5 Remington Cv, Little Rock, AR 72204-8274 | 2019-08-06 |
| 1578127932 | Rosa Maria Perez | Social Worker | 2175 Westchester Ave, Bronx, NY 10462-4734 | 2019-04-30 |
| 1689189292 | Rosa Marlene Perez | Counselor | 516 N Kaweah Ave, Exeter, CA 93221-1200 | 2017-12-05 |
| Street Address |
2511 N KEDZIE BLVD AMG-LOGAN SQUARE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60647-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366434706 | Lake Shore Podiatry Center, LLC | Podiatrist | 2511 N Kedzie Blvd, 2nd Floor, Chicago, IL 60647-2634 | 2005-08-22 |
| 1881089662 | Laura Johnson | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647 | 2015-03-30 |
| 1578977062 | Andrea Michelle Feijoo | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2603 | 2014-06-12 |
| 1275761488 | Nichole Suzanne Lupei | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2603 | 2009-06-25 |
| 1558531442 | Gold Coast Podiatry Center, LLC | Podiatrist | 2511 N Kedzie Blvd, 2nd Floor, Chicago, IL 60647-2634 | 2008-03-06 |
| 1427233998 | County Medical Group Ltd Finley W Brown Jr Md | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2634 | 2008-01-03 |
| 1477600716 | Finley Webster Brown Jr. | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2634 | 2007-01-05 |
| 1740290030 | Maria Pulido | Family Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2634 | 2006-08-09 |
| 1417977851 | Jorge Alberto Kurganoff | Internal Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2634 | 2006-07-20 |
| 1649205063 | Emily Chacko | Internal Medicine | 2511 N Kedzie Blvd, Chicago, IL 60647-2634 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
| 1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
| 1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
| 1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
| 1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
| 1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
| 1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
| Find all providers in zip 60647 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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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.