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JOHN F. PERISIN DMD P.C.

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Company Details

Entity Name: JOHN F. PERISIN DMD P.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 03 Apr 2023
Company Number: CORP_74122531
File Number: 74122531
Type of Business: Incorporated under the Professional Service Corporation Act
Place of Formation: ILLINOIS

Agent

Name and Address Role Appointment Date
PARKER C MATHERS, 930 N YORK ROAD, SUITE 200, HINSDALE, 60521, DU PAGE Agent 2023-04-03

President

Name and Address Role
JOHN PERISIN, 550 CARRIAGE WAY, SOUTH ELGIN, IL, 60177 President

National Provider Identifier

NPI Number:
1205531431
Certification Date:
2023-04-05

Authorized Person:

Name:
DR. JOHN PERISIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QD0000X - Dental Clinic/Center
Is Primary:
No
Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
923331036
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:

License

License Type License Number Status License Code License Description Business Activity Date Issued Effective Date Expiration Date
PROF SERVICE CORP 060012879 No data No data REGISTERED PROFESSIONAL SERVICE CORPORATION No data 2023-08-03 2023-08-03 2025-01-01

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
ST. CHARLES FAMILY DENTISTRY Assume Name 2023-07-14 No data No data No data

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 1200 120000 No data

USAspending Awards / Financial Assistance

Date:
2020-04-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 17 Jul 2025

Sources: Illinois Office of the Secretary of State