Premise Health of Illinois Medical, PC
NPI #1629716121 in Northbrook, Illinois
Provider Information
- NPI Number
- 1629716121
- Entity Type
- Organization
- Organization Name
- Premise Health of Illinois Medical, PC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- May 24, 2022
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 4179 DUNDEE RD STE A106
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-2129
- Phone
- (847) 402-2300
Authorized Official
- Name
- WILL WRIGHT
- Title
- SECRETARY
- Phone
- (615) 577-5893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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