| Premiere Family Health Inc | |
|
5600 W 87th St Burbank IL 60459-2902 | |
| (708) 952-0000 | |
| (708) 529-7195 |
| Full Name | Premiere Family Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 W 87th St, Burbank, Illinois |
| Authorized Official Name and Position | Steve Elmosa (PRACTICE MANAGER) |
| Authorized Official Contact | 7082006615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Family Health Inc 5600 W 87th St Burbank IL 60459-2902 Ph: (708) 952-0000 | Premiere Family Health Inc 5600 W 87th St Burbank IL 60459-2902 Ph: (708) 952-0000 |
| NPI Number | 1437541000 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437541000 | NPI | - | NPPES |
| 036119432 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036119432 (Illinois) | Primary |
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