PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a multi-specialty clinic center in Chicago, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1093482002. The provider is registered as an organization entity type.
The provider Is Doing Business As Living Well Health & Wellness Center.
The provider's business location address is:
333 W WACKER DR
CHICAGO, IL
ZIP 60606-220
Phone: (615) 468-3188
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 14D2254571 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/26/2021 and was last updated on 8/17/2023.