# PREMISE HEALTH OF ILLINOIS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCL Health Center - Utica
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295518868
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 740 E US HIGHWAY 6 STE B, UTICA, IL 61373-9755
- **Practice address phone:** (815) 310-5750
- **Practice address fax:** (815) 310-1051
- **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:** 08/16/2023
- **Last updated:** 02/10/2026