institution
Premise Health Of Illinois Medical, Pc
Multi-Specialty Clinic/Center in Lisle, Illinois
NPI 1073025235

Premise Health Of Illinois Medical, Pc is a Multi-Specialty Clinic/Center based in Brentwood, IL and is specialized in Multi-Specialty. Premise Health Of Illinois Medical, Pc practices in Lisle, IL. The NPI Number for Premise Health Of Illinois Medical, Pc is 1073025235 and holds a License No. (Illinois).

The current practice location address for Premise Health Of Illinois Medical, Pc is 4979 Indiana Ave Ste 312, Lisle, IL and can be reached out via phone at 312-337-4150 and via fax at 312-337-4311.

Location: 4979 Indiana Ave Ste 312, Lisle, IL, 37027-4993
institution
Provider Profile Details
NPI Number
1073025235
Provider Name
Premise Health Of Illinois Medical, Pc
Credential
Provider Entity Type
Organization
Address
4979 Indiana Ave Ste 312, Lisle, IL, 37027-4993
Phone Number
312-337-4150
Fax Number
312-337-4311
Provider Enumeration Date
10/27/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4979 Indiana Ave Ste 312
City
State
Zip
60532
Phone Number
312-337-4150
Fax Number
312-337-4311
person
Provider Business Mailing Address Details
Address
4979 Indiana Ave Ste 312
City
State
Zip
60532
Phone Number
312-337-4150
Fax Number
312-337-4311
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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