Organization · Type 2 NPI

Premise Health of Illinois Medical PC

Multi-Specialty Clinic/Center · Utica, IL

NPI number 1295518868 Active

Practice location

740 E US Highway 6 Ste B
Utica, IL 61373-9755

Call (815) 310-5750 Map

Fax (815) 310-1051

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...

Another provider at this address

Jennifer Westbrook, A.P.N.Psychiatric/Mental Health Nurse Practitioner Utica, IL NPI 1578940524

NPI record

NPI: 1295518868
Entity type: Organization (Type 2)
Issued: Aug 16, 2023
Last updated: Feb 10, 2026
Status: Active

Other names

<unavail>
MCL Health Center - Utica · doing business as
MCL Health Center - Utica · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295518868

Premise Health of Illinois Medical PC's National Provider Identifier is 1295518868, issued on Aug 16, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Utica, IL. The record was last updated on Feb 10, 2026.