PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a multi-specialty clinic center in Grayslake, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1780366310. The provider is registered as an organization entity type.
The provider Is Doing Business As Mcl Health Center.
The provider's business location address is:
1170 E BELVIDERE RD STE 105
GRAYSLAKE, IL
ZIP 60030-076
Phone: (847) 656-9552
The provider's authorized official is William Wright .
The authorized official title is Legal Counsel and has the following contact phone number (615) 577-5893.
The CLIA number assigned to this NPI record is 14D2285201 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/3/2023 and was last updated on 8/21/2023.