# PREMISE HEALTH OF ILLINOIS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capital One Be Well Health Center at Riverwoods
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528963014
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (602) 739-4561

## Contact information

- **Practice address:** 2500 LAKE COOK RD STE RW1-1CE, RIVERWOODS, IL 60015-3851
- **Practice address phone:** (224) 405-2800
- **Practice address fax:** (224) 855-5676
- **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:** 10/13/2026
- **Last updated:** 10/15/2026