Wis-Per Psychiatric Services S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-084974 Issued in IL

Legal business name

WIS-PER PSYCHIATRIC SERVICES S.C.

Practice address

16233 Wausau Ave
South Holland, IL 60473-2157

Phone

(708) 643-1753

Fax

(708) 418-0620

NPI assigned

Nov 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rita Maria Lewis-Perry, M.D.

Title

President

Phone

(708) 296-1759

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1306090691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 WAUSAU AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732157",
            "telephone_number": "708-643-1753",
            "fax_number": "708-418-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 WAUSAU AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732157",
            "telephone_number": "708-643-1753",
            "fax_number": "708-418-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIS-PER PSYCHIATRIC SERVICES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS-PERRY",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-296-1759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-084974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084974",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E'Toyare P Williams, PH.D
• Keith Williams, M.D.
• Lonnie Lee Williams, OD
• Deborah Lefay Wilson, DEVELOPMENTAL THERAP
• Windmill Nursing Pavilion, LTD.
• Rachelle Wise
• Brian C. Wittmayer, DPM
• Wojciech Ornowski MD PC
• Michelle Antoinette Wright- Sturgess
• Sabina Wytrwal

• Psychiatry Physician in South Holland, IL
• Providers in South Holland, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.