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Organization
CONSTANTINO PERALES JR., M.D.
Active
Organization
CONSTANTINO PERALES JR., M.D.
Active
Other names
Seventh Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CONSTANTINO PERALES JR. M.D. (OWNER)
(815) 224-2006
Entity
Organization
Contact information
Practice address
1016 7TH ST, PERU, IL 61354-2722
(815) 224-2006
(815) 224-1765
Mailing address
1016 7TH ST, PERU, IL 61354-2722
(815) 224-2006
(815) 224-1765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067198
—
IL
Enumeration date
08/31/2006
Last updated
05/30/2013
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