SearchIllinois207W00000X

Enrique Peralta

NPI 1346237534 · on the registry since 2005

Practice

Address
3990 N Illinois St
Swansea, IL 62226
Phone
(618) 277-1130
Fax
(618) 277-4917
Organisation at this address
Jfj Eyecare, Ltd
Eye Surgery Center, Ltd.
Illinois Retina Surgery Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 408 W 2nd St, Centralia, IL
  • 4900 W Main St, Belleville, IL
  • 12 Professional Park Dr, Maryville, IL
  • 1310 Dadrian Prof Park, Godfrey, IL
  • 2421 Corporate Ctr, Granite City, IL
  • 1066 Executive Parkway Dr Ste 200, Saint Louis, MO
  • 3000 Broadway St, Mount Vernon, IL
  • 2121 S State Route 157, Edwardsville, IL

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
207W00000X
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois