Individual
MERLE A PIACENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E FIRST STREET, ST MARGARETS HOSPITAL, SPRING VALLEY, IL 61362-1512
(815) 664-5311
Mailing address
#8 US RTE 6 WEST, PERU, IL 61354-2943
(815) 223-5288
(815) 220-0252
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036055141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00615598
BCBS
—
05
—
036055141
—
IL
01
—
663210
MEDICARE ID
—
Enumeration date
11/06/2006
Last updated
09/24/2013
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