Organization
PREMIUM PRACTITIONERS PLUS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALIA THOMPSON- JONES FPA APRN, DNP (FNP-BC)
(708) 991-2945
Entity
Organization
Contact information
Practice address
19801 GOVERNORS HWY STE 140, FLOSSMOOR, IL 60422-4363
(708) 635-6484
(312) 585-5620
Mailing address
5331 STANFORD LN, MATTESON, IL 60443-1671
(708) 600-0965
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F400625230
—
IL
Enumeration date
12/11/2018
Last updated
12/07/2022
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