| Premise Health Of Illinois Medical, Pc | |
|
1010 E Fairchild St Danville IL 61832-3393 | |
| (217) 443-7102 | |
| (615) 369-8788 |
| Full Name | Premise Health Of Illinois Medical, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1010 E Fairchild St, Danville, Illinois |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Illinois Medical, Pc 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Premise Health Of Illinois Medical, Pc 1010 E Fairchild St Danville IL 61832-3393 Ph: (217) 443-7102 |
| NPI Number | 1265005177 |
|---|---|
| Provider Enumeration Date | 07/19/2021 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265005177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
County Of Vermilion Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S College St, Suite A, Danville, IL 61832 Phone: 217-431-2662 Fax: 217-431-7483 | |
Carle Clinic Association, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 N Vermilion St, Danville, IL 61832 Phone: 217-431-7600 | |
Provena Service Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Sheridan St, Danville, IL 61832 Phone: 217-431-6330 | |
Carle Health Care Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Fairchild St, Danville, IL 61832 Phone: 217-431-7600 | |
Muhammad Mushtaq Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Fairchild St, Suite B, Danville, IL 61832 Phone: 217-431-1100 Fax: 217-431-2900 | |
Osf Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 309-655-2850 | |
Vermilion Medical Center Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 West Fairchild Street, Suite A, Danville, IL 61832 Phone: 217-443-3866 Fax: 217-443-0216 |