PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a multi-specialty clinic center in Countryside, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1083006001. The provider is registered as an organization entity type.
The provider Is Doing Business As Operator's Health Center.
The provider's business location address is:
6150 JOLIET RD
COUNTRYSIDE, IL
ZIP 60525-956
Phone: (708) 485-2273
Fax: (708) 352-0845
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.
The CLIA number assigned to this NPI record is 14D2097494 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/27/2015 and was last updated on 8/17/2023.