Premiumhealthcare PC
NPI #1386184448 in Crest Hill, Illinois
Provider Information
- NPI Number
- 1386184448
- Entity Type
- Organization
- Organization Name
- Premiumhealthcare PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Mar 8, 2017
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 16003 EXECUTIVE DR
- City
- Crest Hill
- State
- Illinois
- ZIP Code
- 60403-0500
- Phone
- (815) 838-9544
Authorized Official
- Name
- DR. JOSE F RIVERA GUERRERO, MD
- Title
- OWNER
- Phone
- (917) 543-1967
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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