Organization
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
Active
Other names
United Airlines Onsite ORD Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
11601 W TOUHY AVE, O'HARE INTERNATIONAL AIRPORT- TERMINAL 2- LOWER LEVEL, CHICAGO, IL 60666-5047
(770) 601-2525
(770) 601-2533
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(888) 830-4255
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
08/21/2023
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