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PREMIERE FAMILY HEALTH INC NPI 1437541000


NPI Information

NPI: 1437541000
Provider Name: PREMIERE FAMILY HEALTH INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D2092184

Address:
5600 W 87TH ST
BURBANK, IL
ZIP 60459
Phone: (708) 952-0000
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PREMIERE FAMILY HEALTH INC is an internal medicine in Burbank, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PREMIERE FAMILY HEALTH INC NPI is 1437541000. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5600 W 87TH ST
BURBANK, IL
ZIP 60459-902
Phone: (708) 952-0000
Fax: (708) 529-7195

The provider's authorized official is Steve Elmosa .
The authorized official title is Practice Manager and has the following contact phone number (708) 200-6615.

The CLIA number assigned to this NPI record is 14D2092184 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine036119432ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036119432MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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