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Organization
PREMISE HEALTH OF ILLINOIS MEDICAL PC
Active
Organization
PREMISE HEALTH OF ILLINOIS MEDICAL PC
Active
Other names
Operator's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
6150 JOLIET RD, COUNTRYSIDE, IL 60525-3956
(708) 485-2273
(708) 352-0845
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/27/2015
Last updated
02/02/2026
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