Individual
DR. CONSTANTINO PERALES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207R00000X
Internal Medicine Physician
Primary
036067198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067198
—
IL
Enumeration date
09/16/2005
Last updated
06/03/2013
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