Premier Primary Care and Alternative Medicine

NPI #1003406000 in Chicago, Illinois

Provider Information

NPI Number: 1003406000
Entity Type: Organization
Organization Name: Premier Primary Care and Alternative Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: PREMIER HEALTH NETWORK LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2021
Last Updated: Jun 28, 2021

Practice Location

Address: 1301 E 47TH STREET
Address 2: BLDG 2 SUITE B
City: Chicago
State: Illinois
ZIP Code: 60653
Phone: (773) 891-2890

Authorized Official

Name: REUBEN C RUTLAND I, MD, MBA
Title: CHIEF OPERATION OFFICER
Phone: (574) 276-7184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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