PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a health service clinic center in Chicago, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1477881845. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Wellness Center.
The provider's business location address is:
300 E RANDOLPH ST # CL404
CHICAGO, IL
ZIP 60601-099
Phone: (312) 653-3300
Fax: (312) 653-3398
The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (615) 468-6270.
The CLIA number assigned to this NPI record is 14D2002385 - other - on-site employee hlth ct with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/24/2009 and was last updated on 8/21/2023.