Active NPI
Blessing Short, PA-C
- Physician Assistant
- Palos Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.010959
- Practice address
- 13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508 - Phone
- (708) 274-3278
- Fax
- (708) 274-3299
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.010959 | IL | Primary |
Addresses
Primary practice location
13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508
Mailing address
5710 W Roosevelt St
Monee, IL 60449-8014
Phone (815) 662-7478
Other practice location 1
2121 Oneida St Ste 202
Joliet, IL 60435-6550
Phone (815) 823-8200
Other practice location 2
11560 S Kedzie Ave Ste 100
Merrionette Park, IL 60803-4517
Phone (708) 824-1114
Other practice location 3
10260 191st St Ste 102
Mokena, IL 60448-8802
Phone (708) 478-4224
Other practice location 4
3231 Euclid Ave Ste 201
Berwyn, IL 60402-3472
Phone (708) 783-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13011 S 104TH Ave
Suite 100
Palos Park, IL 60464-1508
Phone (708) 274-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.010959 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Care Centers of Illinois, SC | Current | Accepting new patients | |
| Heart Care Centers of Illinois, SC | Physician Assistant | Current | Accepting new patients |
| Cardiothoracic & Vascular Surgical Associates S C | Past | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Past | Accepting new patients |
Locations
3231 Euclid Ave
Ste 201
Berwyn, IL 60402
Phone (708) 783-2055
3231 Euclid Ave
Ste 400
Berwyn, IL 60402
Phone (708) 478-3600
2338 New St
Blue Island, IL 60406
Phone (708) 577-5060
2121 Oneida St
Ste 202
Joliet, IL 60435
Phone (815) 741-4390
11560 S Kedzie Ave
Ste 100
Merrionette Park, IL 60803
Phone (708) 824-1114
10260 191st St
Ste 102
Mokena, IL 60448
Phone (708) 478-4224
13011 S 104th Ave
Ste 100
Palos Park, IL 60464
Phone (708) 274-3278
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Palos Park, IL
- NPI 1508810086
-
- Physician Assistant
- Palos Park, IL
- NPI 1104238534
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
-
- Rehabilitation Hospital Unit
- Berwyn, IL
- NPI 1871977751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1144037672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5710 W ROOSEVELT ST",
"city": "MONEE",
"state": "IL",
"postal_code": "604498014",
"telephone_number": "815-662-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13011 S 104TH AVE STE 100",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604641508",
"telephone_number": "708-274-3278",
"fax_number": "708-274-3299"
}
],
"practiceLocations": [
{
"address_1": "2121 Oneida St Ste 202",
"address_purpose": "LOCATION",
"city": "Joliet",
"state": "IL",
"postal_code": "604356550",
"country_code": "US",
"telephone_number": "815-823-8200",
"fax_number": "815-823-8201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11560 S Kedzie Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Merrionette Park",
"state": "IL",
"postal_code": "608034517",
"country_code": "US",
"telephone_number": "708-824-1114",
"fax_number": "708-824-9341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10260 191st St Ste 102",
"address_purpose": "LOCATION",
"city": "Mokena",
"state": "IL",
"postal_code": "604488802",
"country_code": "US",
"telephone_number": "708-478-4224",
"fax_number": "708-478-4033",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3231 Euclid Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Berwyn",
"state": "IL",
"postal_code": "604023472",
"country_code": "US",
"telephone_number": "708-783-2055",
"fax_number": "708-783-2181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHORT",
"first_name": "BLESSING",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.010959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.