Peru Primary Care Professionals Llc in Peru - Family Medicine
Peru Primary Care Professionals Llc - NPI 1568591048
Peru Primary Care Professionals Llc is a Family Medicine in Peru, Illinois. Peru Primary Care Professionals Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Peru Primary Care Professionals Llc is 1568591048. The last update date is 2008-11-20.
Peru Primary Care Professionals Llc's current location address is 920 West St, Peru, Illinois. You can contact this provider via phone number 8152239214 and fax number 8152239322. The mailing address for Peru Primary Care Professionals Llc is 920 West St, Peru, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peru Primary Care Professionals Llc |
|---|---|
| Address | 920 West St, Peru, Illinois |
| Phone Number | 8152239214 |
| Fax Number | 8152239322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Fernandez A. Mark |
| Credentials | M.D. |
| Telephone Number | 8152239214 |
NPI Number Detail
| NPI Number | 1568591048 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2008-11-20 |
Provider Mailing Address Detail
| Address | 920 West St |
|---|---|
| City | Peru |
| State | Illinois (IL) |
| Post Code | 613542763 |
| Phone Number | 8152239214 |
| Fax Number | 8152239322 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36111100 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36111100 | IL | -- | |
| 36089936 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Peru Primary Care Professionals Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Peru Primary Care Professionals Llc has been assigned the NPI (National Provider Identifier) 1568591048. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Peru Primary Care Professionals Llc is physically located?
The Peru Primary Care Professionals Llc is physically situated at the following address: 920 West St, Peru, IL, 613542763.
What is the area of specialization for Peru Primary Care Professionals Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peru Primary Care Professionals Llc is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Peru Primary Care Professionals Llc receive the assignment of its 1568591048 from the Centers for Medicare & Medicaid Services?
The Peru Primary Care Professionals Llc was issued its 1568591048 by the Centers for Medicare & Medicaid Services on 2007-03-02.
As of what date were the details related to Peru Primary Care Professionals Llc most recently updated or revised?
The information pertaining to Peru Primary Care Professionals Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-11-20.
NPI Number: 1902809924
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