# PREMISE HEALTH OF ILLINOIS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MACRC, Carpenters Center for Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073025235
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 4979 INDIANA AVE STE 312, LISLE, IL 60532
- **Practice address phone:** (312) 337-4150
- **Practice address fax:** (312) 337-4311
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2017
- **Last updated:** 01/29/2026