PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a multi-specialty clinic center in Northbrook, IL. PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1629716121. 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:
4179 DUNDEE RD STE A106
NORTHBROOK, IL
ZIP 60062-129
Phone: (847) 402-2300
The provider's authorized official is Will Wright .
The authorized official title is Secretary and has the following contact phone number (615) 577-5893.
The CLIA number assigned to this NPI record is 14D2265598 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/24/2022 and was last updated on 11/15/2023.