Individual provider Active NPI

Blessing Short, PA-C

  • Physician Assistant
  • Palos Park, IL
National Provider Identifier
1144037672
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.010959 Issued in IL
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

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214000885 IL Practitioner - Physician Assistant 1456881838 Reassigns benefits to 1 organization

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
Heart Care Centers of Illinois, S.C.Group PAC ID 6103738810, 37 clinicians

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

LicenseStateTypeSpecialty
085.010959ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Care Centers of Illinois, SC CurrentSince Nov 19, 2025 Accepting new patients
Heart Care Centers of Illinois, SC Physician Assistant CurrentSince Sep 21, 2025 Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C PastSince Jan 24, 1992 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.

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

Verify at the official NPI Registry.