Provider Demographics
NPI:1528312378
Name:PEREZ, MARIA LUISA RAMOS (RN-MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:MARIA LUISA
Middle Name:RAMOS
Last Name:PEREZ
Suffix:
Gender:F
Credentials:RN-MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 CARRIAGEWAY DR
Mailing Address - Street 2:# 313
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3986
Mailing Address - Country:US
Mailing Address - Phone:847-956-4481
Mailing Address - Fax:
Practice Address - Street 1:5100 CARRIAGEWAY DR
Practice Address - Street 2:# 313
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3986
Practice Address - Country:US
Practice Address - Phone:847-956-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227010329225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist