Premier Internal Medicine Group Sc

LBN: Premier Internal Medicine Group Sc
Premier Internal Medicine Group Sc is an health care organization with primary practice located at 2910 Harlem Ave , Riverside IL 60546-1785. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Premier Internal Medicine Group Sc can be contacted via phone (708) 447-4267, or through Rohail, Tahir via phone (708) 447-4267.

Contact Information

Primary practice address
2910 Harlem Ave Riverside IL 60546-1785
Phone: (708) 447-4267
Fax: (708) 447-2104
Website:
Map and Directions
Authorized official contact:
Name: Rohail, Tahir Doctor of Medicine (MD)
Phone: (708) 447-4267

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036087235 Illinois

Profile Details

NPI number 1194730713
LBN Legal business name Premier Internal Medicine Group Sc
DBA Doing business as
Authorized official Rohail, Tahir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Jul 20th, 2010 - about 16 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194730713 NPPES
Illinois MEDICAID 036087235

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