Individual
ERICA DAVIS PERRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 W BUCHANAN AVE, CHARLESTON, IL 61920-2522
(217) 345-7700
(217) 345-7200
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138703
IL
Other
Enumeration date
05/31/2013
Last updated
01/04/2019
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