Organization · Type 2 NPI
Premise Health of Illinois Medical PC
Multi-Specialty Clinic/Center · Chicago, IL
NPI number
1235584475
Active
Practice location
Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd
Chicago, IL 60666
Fax (773) 686-4662
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 1235584475
Premise Health of Illinois Medical PC's National Provider Identifier is 1235584475, issued on Apr 25, 2016. 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.