# PREMISE HEALTH OF ILLINOIS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premise Health Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629716121
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 4179 DUNDEE RD STE A106, NORTHBROOK, IL 60062-2129
- **Practice address phone:** (847) 402-2300
- **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:** 05/24/2022
- **Last updated:** 02/13/2026