# PREMISE HEALTH OF ILLINOIS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** My Health Center At Lowe's Rockford
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770999872
- **Authorized official:** EDWARD WILLIAM SCHWARTZ (PRESIDENT)
- **Authorized official phone:** (844) 407-7557

## Contact information

- **Practice address:** 2801 S SPRINGFIELD AVE, ROCKFORD, IL 61102-4205
- **Practice address phone:** (815) 721-8288
- **Practice address fax:** (815) 721-8270
- **Mailing address:** 5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 02/17/2026