| Premier Suburban Medical Group, Pllc | |
|
17047 La Grange Rd. Orland Park IL 60487-1913 | |
| (815) 300-7106 | |
| Not Available |
| Full Name | Premier Suburban Medical Group, Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 17047 La Grange Rd., Orland Park, Illinois |
| Authorized Official Name and Position | Amy Owens (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 8153007764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Suburban Medical Group, Pllc 1900 Silver Cross Blvd New Lenox IL 60451-9509 Ph: (815) 300-7106 | Premier Suburban Medical Group, Pllc 17047 La Grange Rd. Orland Park IL 60487-1913 Ph: (815) 300-7106 |
| NPI Number | 1528642378 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528642378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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