| Ms Theisha Y Perkins, MD | |
|
364 Torrence Ave, Calumet City, IL 60409 | |
| (708) 868-9457 | |
| (708) 868-6910 |
| Full Name | Ms Theisha Y Perkins |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 364 Torrence Ave, Calumet City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356459549 | NPI | - | NPPES |
| 036106661 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036106661 (Illinois) | Primary |
| Entity Name | Chicago Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266337 PECOS PAC ID: 6608765417 Enrollment ID: O20040311000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theisha Y Perkins, MD 9119 S Exchange Ave, 9718 S. Halsted, Chicago, IL 60617-4225 Ph: (773) 768-5000 | Ms Theisha Y Perkins, MD 364 Torrence Ave, Calumet City, IL 60409 Ph: (708) 868-9457 |
Dr. Christine Mary Kazlauskas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 167th St Ste 500, Calumet City, IL 60409 Phone: 708-915-3100 | |
Dr. Nwanneka Richardson, M.B.B.S. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 510 Burnham Ave, Calumet City, IL 60409 Phone: 708-862-0305 | |
Mrs. Sunnette Christine Varnado-smith, M.D., FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 305 Ruth Street, Calumet City, IL 60409 Phone: 708-305-3403 Fax: 708-862-0211 | |
Dr. Shahida Tanveer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 167th St Ste 250, Calumet City, IL 60409 Phone: 708-891-0089 Fax: 708-891-0681 |