| Premier Occupational Health | |
|
550 E Boughton Rd # 140 Bolingbrook IL 60440-2100 | |
| (630) 972-0733 | |
| Not Available |
| Full Name | Premier Occupational Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 550 E Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Anatoly Gorovits (PRESIDENT) |
| Authorized Official Contact | 6309720733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Occupational Health 550 E Boughton Rd # 140 Bolingbrook IL 60440-2100 Ph: (630) 972-0733 | Premier Occupational Health 550 E Boughton Rd # 140 Bolingbrook IL 60440-2100 Ph: (630) 972-0733 |
| NPI Number | 1033386586 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 4880762483 |
|---|---|
| Medicare Enrollment ID | O20081009000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033386586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036113828 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036113742 (Illinois) | Secondary |
| Provider Name | Anatoly Gorovits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790760965 PECOS PAC ID: 8426072778 Enrollment ID: I20060125000605 |
| Provider Name | George Nick Pitsilos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487660148 PECOS PAC ID: 2466460704 Enrollment ID: I20060329000304 |
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