Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Perisin

Individual provider Dentist · NPI 1619538485

John Perisin is a Dentist in St Charles, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

516 E Main St
St Charles, IL 60174-2133
Phone: (630) 377-3131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019.032202 (IL)

Record details

NPI number1619538485
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address106 E Hanover Pl, Peoria, IL 61614-2120

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