| Premier Occupational | |
|
1415 W Lake St Addison IL 60101-1870 | |
| (630) 705-1630 | |
| (630) 705-1692 |
| Full Name | Premier Occupational |
|---|---|
| Speciality | General Practice |
| Location | 1415 W Lake St, Addison, Illinois |
| Authorized Official Name and Position | Anatoly Gorovits (PRESIDENT) |
| Authorized Official Contact | 6307051630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Occupational 1415 W Lake St Addison IL 60101-1870 Ph: (630) 705-1630 | Premier Occupational 1415 W Lake St Addison IL 60101-1870 Ph: (630) 705-1630 |
| NPI Number | 1588972616 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588972616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036113828 (Illinois) | Primary |
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