Organization · Type 2 NPI

Premise Health of Illinois Medical PC

Multi-Specialty Clinic/Center · Grayslake, IL

NPI number 1780366310 Active

Practice location

1170 E Belvidere Rd Ste 105
Grayslake, IL 60030-2076

Call (847) 656-9552 Map

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

Maria Sophie TerradoFamily Nurse Practitioner Grayslake, IL NPI 1376329748

NPI record

NPI: 1780366310
Entity type: Organization (Type 2)
Issued: Aug 3, 2023
Last updated: Feb 17, 2026
Status: Active

Other names

<unavail>
MCL Health Center · doing business as
MCL Health Center · doing business as
NCL Health Center · 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 1780366310

Premise Health of Illinois Medical PC's National Provider Identifier is 1780366310, issued on Aug 3, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Grayslake, IL. The record was last updated on Feb 17, 2026.