Premise Health Of Illinois Medical PC
Clinic/Center, Multi-Specialty in Chicago, IL. Organization (NPI-2).
NPI number1093482002
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1093482002
- Entity type
- Organization (NPI-2)
- Legal business name
- Premise Health Of Illinois Medical PC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2021
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Living Well Health & Wellness Center (Doing Business As)
Practice location
333 W Wacker DrChicago, IL 60606-1220
Phone 615-468-3188
Mailing address
5500 Maryland WayBrentwood, TN 37027-7048
Authorized official
Edward William Schwartz
President
8444077557
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