PREMIER SUBURBAN MEDICAL GROUP PLLC NPI 1528642378

NPI Information

NPI: 1528642378
Provider Name: PREMIER SUBURBAN MEDICAL GROUP, PLLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
17047 LA GRANGE RD.
ORLAND PARK, IL
ZIP 60467
Phone: (815) 300-7106
Get Directions

PREMIER SUBURBAN MEDICAL GROUP, PLLC is a multi-specialty clinic center in Orland Park, IL. PREMIER SUBURBAN MEDICAL GROUP, PLLC NPI is 1528642378. The provider is registered as an organization entity type.

The provider's business location address is:

17047 LA GRANGE RD.
ORLAND PARK, IL
ZIP 60467-913
Phone: (815) 300-7106

The provider's authorized official is Amy Owens .
The authorized official title is Director Of Finance and has the following contact phone number (815) 300-7764.

The enumeration date for this NPI number is 5/7/2021 and was last updated on 4/15/2024.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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