Most Relevant Information
Provider Data
| NPI Number: | 1003253972 |
| Provider Name: | DOMINIC PERRINO D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 036138623 |
Most Important Dates
| Enumeration Date: | 05/31/2013 |
| Last Updated: | 11/12/2020 |
Provider Practice Location
1000 HEALTH CENTER DR
MATTOON
IL
619389261
Practice Location Phone/Fax
| Phone: | 2172384325 |
| Fax: | 2173484290 |
Provider Mailing Location
1005 HEALTH CENTER DR STE 201
MATTOON
IL
619384693
Provider Mailing Phone/Fax
| Phone: | 2172386055 |
| Fax: | 2172582216 |
Suggested EMR
Family Practice EMR