| Premise Health Of Illinois Medical, Pc | |
|
26525 N Riverwoods Blvd Mettawa IL 60045-3440 | |
| (847) 938-9640 | |
| Not Available |
| Full Name | Premise Health Of Illinois Medical, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 26525 N Riverwoods Blvd, Mettawa, Illinois |
| Authorized Official Name and Position | William Wright (LEGAL COUNSEL) |
| Authorized Official Contact | 6155775893 |
| 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 26525 N Riverwoods Blvd Mettawa IL 60045-3440 Ph: (847) 938-9640 |
| NPI Number | 1689348716 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689348716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |