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Organization
PREMIER PRIMARY CARE AND ALTERNATIVE MEDICINE
Active
Organization
PREMIER PRIMARY CARE AND ALTERNATIVE MEDICINE
Active
Parent organization
PREMIER HEALTH NETWORK LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER HEALTH NETWORK LLC
Authorized official
REUBEN C RUTLAND I MD, MBA (CHIEF OPERATION OFFICER)
(574) 276-7184
Entity
Organization
Contact information
Practice address
1301 E 47TH STREET, BLDG 2 SUITE B, CHICAGO, IL 60653
(773) 891-2890
(773) 891-4107
Mailing address
1301 E 47TH STREET, BLDG 2 SUITE B, CHICAGO, IL 60653
(773) 891-2890
(773) 891-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
06/28/2021
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