Dr. Dominic Perrino
Family Doctor
1000 Health Center Dr
Mattoon
, Illinois 61938-9261
Dr. Dominic Perrino
Family Doctor
1000 Health Center Dr
Mattoon
, Illinois 61938-9261
(217) 258-2216
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Dominic Perrino
- 1005 Health Center Dr Ste 201
- Mattoon, IL
- Zip : 61938-4693
- Fax : (217) 258-2216
- Phone : (217) 238-6055
Second Address
- Dr. Dominic Perrino
- 1000 Health Center Dr
- Mattoon, IL
- Zip : 61938-9261
- Fax : (217) 348-4290
- Phone : (217) 238-4325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 036138623 | IL |
National Provider Identifier
| NPI | 1003253972 |
|---|---|
| Provider Name | Dr. Dominic Perrino |
| First Address | Mattoon, IL 61938-4693 |
| Second Address | Mattoon, IL 61938-9261 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2013 |
| Last Update Date | 12/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.