Premier Suburban Medical Group, Pllc

LBN: Premier Suburban Medical Group, Pllc
Premier Suburban Medical Group, Pllc is an health care organization with primary practice located at 17047 La Grange Rd. , Orland Park IL 60487-1913. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Premier Suburban Medical Group, Pllc can be contacted via phone (815) 300-7764, or through Owens, Amy via phone (815) 300-7764.

Contact Information

Primary practice address
17047 La Grange Rd. Orland Park IL 60487-1913
Phone: (815) 300-7764
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Owens, Amy
Phone: (815) 300-7764

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1376270843
LBN Legal business name Premier Suburban Medical Group, Pllc
DBA Doing business as
Authorized official Owens, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2022
Last updated May 31st, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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