Organization
PREMISE HEALTH OF ILLINOIS MEDICAL PC
Active
Other names
Mount Vernon Healthy Living Center, Mount Vernon Health Center Mt Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WILLIAM SCHWARTZ (PRESIDENT)
(844) 407-7557
Entity
Organization
Contact information
Practice address
5100 LAKE TERRANCE NE, MOUNT VERNON, IL 62864-9665
(618) 899-5001
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
09/17/2010
Last updated
02/04/2026
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