Seventh Street Clinic | |
1016 7th St Peru IL 61354-2722 | |
(815) 224-2006 | |
(815) 224-1765 |
Full Name | Seventh Street Clinic |
---|---|
Speciality | Family Medicine |
Location | 1016 7th St, Peru, Illinois |
Authorized Official Name and Position | Constantino Perales (OWNER) |
Authorized Official Contact | 8152242006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seventh Street Clinic 1016 7th St Peru IL 61354-2722 Ph: (815) 224-2006 | Seventh Street Clinic 1016 7th St Peru IL 61354-2722 Ph: (815) 224-2006 |
NPI Number | 1487765558 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 05/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487765558 | NPI | - | NPPES |
036067198 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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