Seventh Street Clinic

LBN: Constantino Perales Jr., M.D.
Seventh Street Clinic is an health care organization with primary practice located at 1016 7Th St , Peru IL 61354-2722. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Constantino Perales Jr., M.D. can be contacted via phone (815) 224-2006, or through Perales, Constantino via phone (815) 224-2006.

Contact Information

Primary practice address
1016 7Th St Peru IL 61354-2722
Phone: (815) 224-2006
Fax: (815) 224-1765
Website:
Map and Directions
Authorized official contact:
Name: Perales, Constantino Doctor of Medicine (MD)
Phone: (815) 224-2006

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1487765558
LBN Legal business name Constantino Perales Jr., M.D.
DBA Doing business as Seventh Street Clinic
Authorized official Perales, Constantino Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 30th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487765558 NPPES
Illinois MEDICAID 036067198

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