MEDICARE: STEVEN MICHAEL PERRI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085.006419	IL

General Provider Information

NPI Number	:	1730696469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MICHAEL PERRI PA-C

Provider Business Mailing Address
First Line	:	431 SUMMIT ST
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3805
Country	:	US
Telephone Number	:	847-289-8822
Fax Number	:	847-289-0815

Provider Business Practice Location Address
First Line	:	431 SUMMIT ST STE 101
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-3861
Country	:	US
Telephone Number	:	847-289-8822
Fax Number	:	847-289-0815

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2018
Last Update Date	:	06/01/2026

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