Individual
CRESSA K PERISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
036068636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068636
—
IL
Enumeration date
07/19/2005
Last updated
12/29/2014
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