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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