Organization · Type 2 NPI

Premise Health of Illinois Medical PC

Multi-Specialty Clinic/Center · North Chicago, IL

NPI number 1316611445 Active

Practice location

1401 Sheridan Rd
North Chicago, IL 60064-1803

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1316611445

Premise Health of Illinois Medical PC's National Provider Identifier is 1316611445, issued on Aug 3, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in North Chicago, IL. The record was last updated on Feb 4, 2026.