| Premise Health Of Illinois Medical, Pc | |
|
740 E Us Highway 6 Ste B Utica IL 61373-9755 | |
| (815) 310-5750 | |
| (815) 310-1051 |
| Full Name | Premise Health Of Illinois Medical, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 740 E Us Highway 6 Ste B, Utica, Illinois |
| Authorized Official Name and Position | Will 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 Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Illinois Medical, Pc 740 E Us Highway 6 Ste B Utica IL 61373-9755 Ph: (815) 310-5750 |
| NPI Number | 1295518868 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295518868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Starved Rock Family Psychiatry, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 Clark St Ste C, Utica, IL 61373 Phone: 815-275-3035 |