Anthony Perino

NPI 1093894248 - Psychologist - 103T00000X

NPI Details
NPI 1093894248
Gender Male
Enumeration Date 11/06/2006
Last Updated 08/13/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
7317 N WILLOW LAKE CT
PEORIA IL, 61614-8260, US
Phone (309) 683-7373
Fax (309) 691-4408
Business Location
7317 N WILLOW LAKE CT
PEORIA IL, 61614-8260, US
Phone (309) 683-7373
Fax (309) 691-4408
Toxanomy
Taxonomy Code 103T00000X
License State Illinois
License Number 071001566
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According to our database, Anthony Perino NPI is 1093894248, taxonomy code is 103T00000X and license number is 071001566, license state is located at Illinois. Anthony Perino physically located at 7317 N Willow Lake Ct, Peoria IL, 61614-8260. NPI Number Anthony Perino has the Individual type.

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1093894248 NPI number is provided on an as is basis without warranty of any kind. 1093894248 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Perino are for informational purposes only.