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Individual
DR. PERRY J. MENINI
Active
Individual
DR. PERRY J. MENINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036107456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107456
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147089
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
—
P01090802
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
07/02/2007
Last updated
11/29/2012
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