PREMISE HEALTH OF ILLINOIS MEDICAL PC – NPI #1386099562
Clinic/Center

PREMISE HEALTH OF ILLINOIS MEDICAL PC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1386099562 to PREMISE HEALTH OF ILLINOIS MEDICAL PC on April 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Mar 03, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PREMISE HEALTH OF ILLINOIS MEDICAL PC below.

NPI Profile for
PREMISE HEALTH OF ILLINOIS MEDICAL PC

NPI Number
1386099562
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMISE HEALTH OF ILLINOIS MEDICAL PC
Primary location
GEM BUILDING 723, 1ST FLOOR
TOUHY & MT PROSPECT RD
CHICAGO, IL 60666
Phone: (773) 686-4192 Fax: (773) 686-6393
Mailing address
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone: Fax:
Organization Subpart
No
Authorized Official
EDWARD SCHWARTZ
PRESIDENT
Phone: (844) 407-7557
Updated
Certification Date
Mar 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.