Constantino Perales Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONSTANTINO PERALES JR., M.D.

Doing business as

Seventh Street Clinic

Practice address

1016 7TH St
Peru, IL 61354-2722

Phone

(815) 224-2006

Fax

(815) 224-1765

NPI assigned

Aug 31, 2006

Last updated

May 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Constantino Perales Jr., M.D.NPI 1417942376

Title

Owner

Phone

(815) 224-2006

Specialties & licenses 1

Addresses

Other names 1

• Seventh Street Clinic Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constantino Perales Jr., M.D.

  • Internal Medicine Physician
  • Peru, IL
  • NPI 1417942376
  Authorized official Same address or phone
• Debra Lynn Pyszka

  • Physician Assistant
  • Peru, IL
  • NPI 1720161524
  NPD (past)
• Shannon R Mahoney, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1093700858
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1487765558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 7TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542722",
            "telephone_number": "815-224-2006",
            "fax_number": "815-224-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 7TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542722",
            "telephone_number": "815-224-2006",
            "fax_number": "815-224-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINO PERALES JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "PERALES",
        "authorized_official_first_name": "CONSTANTINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-224-2006",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seventh Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Chum, FNP-BC
• City Center Physical Therapy - Peru, Inc.
• City Center Rehabilitation West - Inc.
• CMS & S LTD. (Home Instead Senior Care 536)
• Julie A Condie, MOT,OTR/L
• Tricia Marie Cook, P.T.
• Amy Gail Corsolini
• James Miguel Covington, DDS
• Cpo Services, Inc (Comprehensive Prosthetics and Orthotics)
• Cpo Services, Inc (Comprehensive Prosthetics and Orthotics)

• Family Medicine Physician in Peru, IL
• Providers in Peru, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.