NPIMap

Organization Active NPI

Cressa Perish MD SC

  • Family Medicine Physician
  • Flossmoor, IL
National Provider Identifier
1467553743
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-068636 Issued in IL
Legal business name
CRESSA PERISH MD SC
Practice address
19550 Governors Hwy
Suite 2650
Flossmoor, IL 60422-2125
Phone
(708) 481-8600
Fax
(708) 915-7238
NPI assigned
Sep 26, 2006
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Cressa K Perish, M.D.NPI 1740289933
Title
M.D.
Phone
(708) 481-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-068636 IL Primary

Addresses

Primary practice location

19550 Governors Hwy
Suite 2650
Flossmoor, IL 60422-2125

Mailing address

PO Box 1269
Matteson, IL 60443-4269
Phone (708) 747-5850

Other identifiers 1

IdentifierTypeStateIssuer
31601549OtherILBCBSIL GROUP #

National Provider Directory

National Provider Directory

Locations

19550 Governors Hwy
Ste 2650
Flossmoor, IL 60422
Phone (708) 481-8600

4647 Lincoln Hwy
Fl 2
Matteson, IL 60443
Phone (708) 747-7720

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1467553743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604434269",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY",
            "address_2": "SUITE 2650",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222125",
            "telephone_number": "708-481-8600",
            "fax_number": "708-915-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESSA PERISH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "PERISH",
        "authorized_official_first_name": "CRESSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "708-481-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-068636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP #",
            "identifier": "31601549",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.