Organization
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
Active
Organization
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
Active
Other names
Mylan Institutional Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(615) 468-6270
Entity
Organization
Contact information
Practice address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(888) 830-4255
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
08/21/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up