Constantino Perales Jr., M.D.
Organization Active NPI Family Medicine Physician · Peru, IL
NPI 1487765558 · NPPES record last updated May 30, 2013
Key facts
- NPI
- 1487765558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CONSTANTINO PERALES JR., M.D.
- Practice address
- 1016 7TH St
Peru, IL 61354-2722 - Phone
- (815) 224-2006
- Fax
- (815) 224-1765
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Constantino Perales Jr., M.D.
- Title
- Owner
- Phone
- (815) 224-2006
Practitioners 2
-
Shannon R Mahoney, PA-C
National Provider Directory
Locations
1016 7th St
Peru, IL 61354
Phone (815) 224-2006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1016 7TH St
Peru, IL 61354-2722
Mailing address
1016 7TH St
Peru, IL 61354-2722
Phone (815) 224-2006
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067198 | Medicaid | IL |
Other names
- Seventh Street Clinic
Other providers in Peru, IL
- Nicole Marie Chum
- City Center Physical Therapy - Peru, Inc.
- City Center Rehabilitation West - Inc.
- CMS & S LTD.
- Julie A Condie
- Tricia Marie Cook
- Amy Gail Corsolini
- James Miguel Covington
- Cpo Services, Inc
- Cpo Services, Inc
All providers in Peru, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.