Organization · Type 2 NPI
Premise Health of Illinois Medical PC
Multi-Specialty Clinic/Center · Countryside, IL
NPI number
1083006001
Active
Practice location
6150 Joliet Rd
Countryside, IL 60525-3956
Fax (708) 352-0845
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
4 other providers at this address
- Midwest Operating Engineers Health and Welfare Trust FundMail Order Pharmacy Countryside, IL NPI 1710021092
- Amanda Altobelli, PT, DPTPhysical Therapist Countryside, IL NPI 1417436270
- Margaret J. Janes, APRN BCFamily Nurse Practitioner Countryside, IL NPI 1285818070
- Stacey L. Carpenter, DOFamily Medicine Physician Countryside, IL NPI 1770819708
About NPI 1083006001
Premise Health of Illinois Medical PC's National Provider Identifier is 1083006001, issued on Feb 27, 2015. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Countryside, IL. The record was last updated on Feb 2, 2026.