Organization
CRESSA PERISH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRESSA K PERISH M.D. (M.D.)
(708) 481-8600
Entity
Organization
Contact information
Practice address
19550 GOVERNORS HWY, SUITE 2650, FLOSSMOOR, IL 60422-2125
(708) 481-8600
(708) 915-7238
Mailing address
PO BOX 1269, MATTESON, IL 60443-4269
(708) 747-5850
(708) 747-9991
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-068636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601549
BCBSIL GROUP #
IL
Enumeration date
09/26/2006
Last updated
12/29/2014
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