Individual ProviderAlejandra Perez-TamayoSurgeryAllopathic & Osteopathic PhysiciansPractice Address1801 W. Taylor Street, Mc741, Chicago, IL 60612(312) 996-2061(312) 996-0066PECOS EnrollmentBased on the most recent information from CMS, provider Alejandra Perez-Tamayo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1821416165Provider TypeIndividualFull NamePerez-Tamayo, AlejandraGenderFemaleSole ProprietorNoEnumeration Date4/3/2014Last Updated4/14/2021Contact InformationPractice LocationPractice Address1801 W. Taylor Street, Mc741, Chicago, IL 60612Phone(312) 996-2061Fax(312) 996-1214Mailing LocationMailing Address840 S Wood St Ste 518, Chicago, IL 60612-4325Phone(312) 996-0066Fax(312) 996-1214Provider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense036.149537IllinoisCode208C00000XDescriptionColon & Rectal SurgeryAllopathic & Osteopathic PhysiciansLicense036.149537Illinois