Individual provider Active NPI

Cheryl L. Perlis, M.D.

  • Public Health & General Preventive Medicine Physician
  • Highland Park, IL
National Provider Identifier
1285626101
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
036.078030 Issued in IL
Practice address
1780 Green Bay Rd Ste 204
Highland Park, IL 60035-3276
Phone
(847) 295-5997
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Public Health & General Preventive Medicine Physician 2083P0901X 036.078030 IL Primary

Addresses

Primary practice location

1780 Green Bay Rd Ste 204
Highland Park, IL 60035-3276

Mailing address

1780 Green Bay Rd Ste 204
Highland Park, IL 60035-3276
Phone (847) 295-5997

Other identifiers 1

IdentifierTypeStateIssuer
K01237MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 22, 2019 through May 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.078030ILMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women'S Healthcare Past Accepting new patients
Cheryl Perlis MD SC Past Accepting new patients
Midwest Center for Women'S Health Care, LTD. PastSince Oct 1, 2002 Accepting new patients

Organizations & group practices 3

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1285626101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 GREEN BAY RD STE 204",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353276",
            "telephone_number": "847-295-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 GREEN BAY RD STE 204",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353276",
            "telephone_number": "847-295-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLIS",
        "first_name": "CHERYL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036.078030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K01237",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.