PREMISE HEALTH OF ILLINOIS MEDICAL, PC is a clinic center in Rockford, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMISE HEALTH OF ILLINOIS MEDICAL, PC NPI is 1770999872. The provider is registered as an organization entity type.
The provider Is Doing Business As My Health Center At Lowe's Rockford.
The provider's business location address is:
2801 S SPRINGFIELD AVE
ROCKFORD, IL
ZIP 61102-205
Phone: (815) 721-8288
Fax: (815) 721-8270
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 14D1071944 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/9/2014 and was last updated on 8/21/2023.