Premier Suburban Medical Group, Pllc - Medicare Primary Care in Orland Park, IL

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Premier Suburban Medical Group, Pllc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Orland Park, Illinois. The current practice location for Premier Suburban Medical Group, Pllc is 17047 La Grange Rd., Orland Park, Illinois. For appointments, you can reach them via phone at (815) 300-7664. The mailing address for Premier Suburban Medical Group, Pllc is 1900 Silver Cross Blvd, New Lenox, Illinois and phone number is () -.

Premier Suburban Medical Group, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902412950. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 300-7664.

Contact Information

Premier Suburban Medical Group, Pllc
17047 La Grange Rd.
Orland Park
IL 60487-1913
(815) 300-7664
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePremier Suburban Medical Group, Pllc
SpecialityClinic/Center
Location17047 La Grange Rd., Orland Park, Illinois
Authorized Official Name and PositionAmy Owens (DIRECTOR, FINANCE)
Authorized Official Contact8153007764
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Premier Suburban Medical Group, Pllc
1900 Silver Cross Blvd
New Lenox
IL 60451-9509

Ph: () -		Premier Suburban Medical Group, Pllc
17047 La Grange Rd.
Orland Park
IL 60487-1913

Ph: (815) 300-7664

NPI Details:

NPI Number1902412950
Provider Enumeration Date09/16/2020
Last Update Date05/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5294155818
Medicare Enrollment IDO20201021001250

Medical Identifiers

Medical identifiers for Premier Suburban Medical Group, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902412950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Premier Suburban Medical Group, Pllc acts as a billing entity for following providers:
Provider NameHusam Marsheh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1154427219
PECOS PAC ID: 5294624847
Enrollment ID: I20040312000352
Provider NameRuth Valentin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518908540
PECOS PAC ID: 3173502622
Enrollment ID: I20040717000162
Provider NameZahid Afzal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1528044518
PECOS PAC ID: 4981697422
Enrollment ID: I20050928000427
Provider NameArnold G Bolisay
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1891758512
PECOS PAC ID: 0042232266
Enrollment ID: I20051230000383
Provider NameMaria F Cole
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215922679
PECOS PAC ID: 5496714784
Enrollment ID: I20060113000052
Provider NameLaisvyde Smajkic
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1013943729
PECOS PAC ID: 7315950185
Enrollment ID: I20060720000331
Provider NameHolly A Clark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205823093
PECOS PAC ID: 0446259170
Enrollment ID: I20061207000088
Provider NameNancy C Melde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487606208
PECOS PAC ID: 2062411218
Enrollment ID: I20061215000403
Provider NameDiana M Burda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083631543
PECOS PAC ID: 9133104623
Enrollment ID: I20071106000293
Provider NameRameez Alasadi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1568452712
PECOS PAC ID: 8921196643
Enrollment ID: I20071114000141
Provider NameRichard H Geiger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508976747
PECOS PAC ID: 2668553405
Enrollment ID: I20080117000431
Provider NameRiten Sheth
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1578664728
PECOS PAC ID: 9537241419
Enrollment ID: I20080131000038
Provider NameRoberto P Ramirez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215042528
PECOS PAC ID: 5799849691
Enrollment ID: I20090121000293
Provider NameRobert J Oliver
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114981032
PECOS PAC ID: 3870582893
Enrollment ID: I20100323000635
Provider NameFirouzeh Naghdi Ciaciura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568426849
PECOS PAC ID: 3072502095
Enrollment ID: I20100323000689
Provider NameThomas J Vasdekas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275630253
PECOS PAC ID: 5799811923
Enrollment ID: I20100326000988
Provider NameYogesh Tejpal
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730143017
PECOS PAC ID: 5395734321
Enrollment ID: I20100514000124
Provider NameJohn M Obert Hong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194789479
PECOS PAC ID: 7618966631
Enrollment ID: I20100601000486
Provider NameKaihua K Lai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689649659
PECOS PAC ID: 3678562683
Enrollment ID: I20100604000889
Provider NameRobert S Markus
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1588629026
PECOS PAC ID: 5294724217
Enrollment ID: I20100604001012
Provider NameRefat Baridi
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1285622621
PECOS PAC ID: 8426047416
Enrollment ID: I20100604001103
Provider NameAshok G Dholakia
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568451490
PECOS PAC ID: 4688663685
Enrollment ID: I20100605000217
Provider NameRajiv J Vasavada
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811951197
PECOS PAC ID: 4486642477
Enrollment ID: I20100610000474
Provider NameMaryanne Damiani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174578934
PECOS PAC ID: 1052300050
Enrollment ID: I20100610000726
Provider NameEsmond K Yen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285698100
PECOS PAC ID: 3476541467
Enrollment ID: I20100610000788
Provider NameChirag A Dholakia
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972667624
PECOS PAC ID: 1759429418
Enrollment ID: I20110210000926
Provider NameYvonne Robles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497195671
PECOS PAC ID: 6305088279
Enrollment ID: I20130806000865
Provider NameKimberly D Van Wyngarden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497186472
PECOS PAC ID: 9234367087
Enrollment ID: I20140124000982
Provider NameJoseph M Lach
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225379498
PECOS PAC ID: 1153630215
Enrollment ID: I20151013000535
Provider NameJoanne G Delany
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1942668355
PECOS PAC ID: 2860781119
Enrollment ID: I20160510001587
Provider NameMarie Abbinante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295118610
PECOS PAC ID: 6608181375
Enrollment ID: I20170222000811
Provider NameKinsey Nolan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174045462
PECOS PAC ID: 1052670510
Enrollment ID: I20180109002268
Provider NameChristopher Michael Gloude
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992286868
PECOS PAC ID: 7214273655
Enrollment ID: I20190107001517
Provider NameNisha Cyriac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689238420
PECOS PAC ID: 7810228285
Enrollment ID: I20191016001424
Provider NameLisa Abu-samra
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1215479621
PECOS PAC ID: 9032476049
Enrollment ID: I20191031000970
Provider NameSylvia Irizarry
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144284332
PECOS PAC ID: 0941374656
Enrollment ID: I20201105000120
Provider NameCara Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992414437
PECOS PAC ID: 1456721653
Enrollment ID: I20230104002679
Provider NameBrenda Grzenia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376317388
PECOS PAC ID: 7416306725
Enrollment ID: I20231212003056
Provider NameYasmeen Mohammad Abu-samra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265206643
PECOS PAC ID: 4880046937
Enrollment ID: I20240115000774
Provider NameCory Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770125908
PECOS PAC ID: 4587092127
Enrollment ID: I20240401001128

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.