HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C NPI 1235584475

NPI Information

HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C is a multi-specialty clinic center in Chicago, IL. HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C NPI is 1235584475. The provider is registered as an organization entity type.
The provider Is Doing Business As Premise Health Clinic.

The provider's business location address is:

TERMINAL 3, K19 CONCOURSE, RAMP LEVEL RM 100
TOUHY & MT PROSPECT RD
CHICAGO, IL
ZIP 60666
Phone: (773) 686-3912
Fax: (773) 686-4662

The provider's authorized official is Steven A Hinitt .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 14D2051627 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2016 and was last updated on 5/28/2020.

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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