Perales, Constantino
Perales, Constantino is an sole proprietor health care provider with primary practice located at 1016 7Th St , Peru IL 61354-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perales, Constantino can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036067198 | Illinois |
Profile Details
| NPI number | 1417942376 |
|---|---|
| LBN Legal business name | Perales, Constantino |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jun 3rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417942376 | NPPES |
| Illinois | MEDICAID | 036067198 |
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