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PREMIERE GENERAL MEDICINE S C NPI 1437584364


NPI Information

NPI: 1437584364
Provider Name: PREMIERE GENERAL MEDICINE S C
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2259791

Address:
7600 W COLLEGE DR
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 334-7929
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PREMIERE GENERAL MEDICINE S C is an internal medicine in Palos Heights, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PREMIERE GENERAL MEDICINE S C NPI is 1437584364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7600 W COLLEGE DR
PALOS HEIGHTS, IL
ZIP 60463-001
Phone: (708) 334-7929
Fax: (708) 293-8789

The provider's authorized official is Nicholas Rizzo .
The authorized official title is President and has the following contact phone number (708) 334-7929.

The CLIA number assigned to this NPI record is 14D2259791 - other - office based surgery with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2013 and was last updated on 9/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036095309ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11669447272OTHERNPI, INDIVIDUAL
2G46997MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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