Anthony Perino is a Psychologist in Peoria, Illinois. Anthony Perino practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Anthony Perino is 1093894248. The last update date is 2008-08-13.
Anthony Perino's current location address is 7317 N Willow Lake Ct, Peoria, Illinois. You can contact this provider via phone number 3096837373 and fax number 3096914408. The mailing address for Anthony Perino is 7317 N Willow Lake Ct, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Perino |
|---|---|
| Address | 7317 N Willow Lake Ct, Peoria, Illinois |
| Phone Number | 3096837373 |
| Fax Number | 3096914408 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1093894248 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 7317 N Willow Lake Ct |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148260 |
| Phone Number | 3096837373 |
| Fax Number | 3096914408 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 71001566 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA4079 | IL | RR MEDICARE GROUP PTAN | |
| P00604579 | IL | RR MEDICARE GROUP MEMBER PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Anthony Perino by the Centers for Medicare & Medicaid Services?
The Anthony Perino has been issued the NPI (National Provider Identifier) 1093894248. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anthony Perino is physically located?
The Anthony Perino is physically situated at the following address: 7317 N Willow Lake Ct, Peoria, IL, 616148260.
What is the area of specialization for Anthony Perino, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anthony Perino is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093894248 to Anthony Perino?
The Centers for Medicare & Medicaid Services originally issued the 1093894248 to Anthony Perino on 2006-11-06.
When was the Anthony Perino's information last updated?
The Anthony Perino's information was last updated on 2008-08-13.