Premise Health of Illinois Medical, PC
NPI #1598438434 in Belleville, Illinois
Provider Information
- NPI Number
- 1598438434
- Entity Type
- Organization
- Organization Name
- Premise Health of Illinois Medical, PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 19 PUBLIC SQ
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1695
- Phone
- (843) 918-2040
Authorized Official
- Name
- JON LEIZMAN
- Title
- PRESIDENT
- Phone
- (615) 468-6270
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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