| Premiumhealthcare Pc | |
|
16003 Executive Dr Crest Hill IL 60403-0500 | |
| (815) 838-9544 | |
| Not Available |
| Full Name | Premiumhealthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16003 Executive Dr, Crest Hill, Illinois |
| Authorized Official Name and Position | Jose F Rivera Guerrero (OWNER) |
| Authorized Official Contact | 9175431967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiumhealthcare Pc 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 280-5796 | Premiumhealthcare Pc 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 838-9544 |
| NPI Number | 1386184448 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 02/07/2025 |
| Medicare PECOS PAC ID | 8224315239 |
|---|---|
| Medicare Enrollment ID | O20170501000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386184448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD2011-0111 (New Mexico) | Primary |
| Provider Name | Jose F Rivera Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316190028 PECOS PAC ID: 5597935874 Enrollment ID: I20170426001894 |
| Provider Name | Cristina A Perez Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568718526 PECOS PAC ID: 3375794928 Enrollment ID: I20170501000401 |
Dr Ahsan And Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Willow Circle Dr, Crest Hill, IL 60403 Phone: 815-741-2525 Fax: 815-741-2522 | |
Ibsen Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-744-2344 | |
Mariusz Rogalski, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16001 Executive Dr, Crest Hill, IL 60403 Phone: 630-418-5050 | |
Rafael Perez-guerra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 | |
Alvi Medical Services Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 | |
Ibsen, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 |