PREMISE HEALTH OF ILLINOIS MEDICAL PC NPI 1518204650

NPI Information

PREMISE HEALTH OF ILLINOIS MEDICAL, PC is an occupational medicine clinic center in Chicago, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1518204650. The provider is registered as an organization entity type.
The provider Is Doing Business As United Airlines Onsite Ord Clinic.

The provider's business location address is:

11601 W TOUHY AVE
O'HARE INTERNATIONAL AIRPORT- TERMINAL 2- LOWER LEVEL
CHICAGO, IL
ZIP 60666-047
Phone: (770) 601-2525
Fax: (770) 601-2533

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 enumeration date for this NPI number is 1/9/2013 and was last updated on 8/21/2023.

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:

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