Dr. Laura Amanda Perry
Family Doctor - Geriatric Medicine
722 W Maxwell St Ste 235
Chicago
, Illinois 60607
Dr. Laura Amanda Perry
Family Doctor - Geriatric Medicine
722 W Maxwell St Ste 235
Chicago
, Illinois 60607
(312) 413-9206
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Laura Amanda Perry
- 1919 W Taylor St # Mc663
- Chicago, IL
- Zip : 60612-7246
- Phone : (312) 413-9206
Second Address
- Dr. Laura Amanda Perry
- 722 W Maxwell St Ste 235
- Chicago, IL
- Zip : 60607
- Phone : (312) 996-2901
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 036138476 | IL |
National Provider Identifier
| NPI | 1255698809 |
|---|---|
| Provider Name | Dr. Laura Amanda Perry |
| First Address | Chicago, IL 60612-7246 |
| Second Address | Chicago, IL 60607 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2012 |
| Last Update Date | 24/09/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.