Organization · Type 2 NPI
Premise Health of Illinois Medical PC
Multi-Specialty Clinic/Center · Chicago, IL
NPI number
1194592790
Active
Practice location
320 N Morgan Street, Suite 600
Chicago, IL 60607-1321
Fax (312) 229-8817
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...
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About NPI 1194592790
Premise Health of Illinois Medical PC's National Provider Identifier is 1194592790, issued on Dec 5, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Chicago, IL. The record was last updated on Feb 3, 2026.