Provider Demographics
NPI:1639494123
Name:PEREZ, CAROLINA (MS)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINA
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:CAROLINA
Other - Middle Name:
Other - Last Name:PAREDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2133 N NAGLE STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60707
Mailing Address - Country:US
Mailing Address - Phone:773-216-2276
Mailing Address - Fax:
Practice Address - Street 1:2133 N NAGLE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60707-3415
Practice Address - Country:US
Practice Address - Phone:773-216-2276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant