Provider Demographics
NPI:1043276702
Name:PEREZ, MARLENE B (OTR/L, CHT, WCC)
Entity Type:Individual
Prefix:MRS
First Name:MARLENE
Middle Name:B
Last Name:PEREZ
Suffix:
Gender:F
Credentials:OTR/L, CHT, WCC
Other - Prefix:
Other - First Name:MARLENE
Other - Middle Name:B
Other - Last Name:BARBARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:PO BOX 713260
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-2582
Mailing Address - Country:US
Mailing Address - Phone:630-469-9200
Mailing Address - Fax:
Practice Address - Street 1:1801 S HIGHLAND AVE STE L10
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4932
Practice Address - Country:US
Practice Address - Phone:630-967-2000
Practice Address - Fax:630-261-6901
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-006489225XH1200X
IL056006489225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist