Preston Health Partners P C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036080973 Issued in IL

Legal business name

PRESTON HEALTH PARTNERS P C

Doing business as

Preston Family Practice

Practice address

4479 Central Ave
Western Springs, IL 60558-1714

Phone

(708) 784-9000

Fax

(708) 784-9088

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca C Preston, MD

Title

Owner

Phone

(708) 784-9000

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PRESTON FAMILY PRACTICE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1275726085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 CENTRAL AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581714",
            "telephone_number": "708-784-9000",
            "fax_number": "708-784-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4479 CENTRAL AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581714",
            "telephone_number": "708-784-9000",
            "fax_number": "708-784-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON HEALTH PARTNERS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-784-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036080973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "50780",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0021605429",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080973",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTON FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Pendleton, D.D.S.
• Petty & Dragstrem Orthodontics, LLC
• Joseph P Piento
• Eliot Marshall Pontius
• Michelle Presslak
• Rebecca Cecilia Preston, M.D.
• Juliet Karen Price, LCSW, DCSW, QCSW
• Catherine A Pruitt, M.S.CCC-SLP
• Yoonsun Pyun
• David E Quiles Gonzalez

• Clinic/Center in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.