Premier Internal Medicine Llc
LBN: Premier Internal Medicine Llc
Premier Internal Medicine Llc is an health care organization with primary practice located at 4500 Memorial Dr , Belleville IL 62226-5360. 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 Llc can be contacted via phone (618) 476-9399, or through Hussain, Syed K via phone (314) 304-1769.
Contact Information
Primary practice address
4500 Memorial Dr
Belleville IL 62226-5360
Phone: (618) 476-9399
Fax: (618) 476-9547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036092117 | Illinois |
Profile Details
| NPI number | 1689651184 |
|---|---|
| LBN Legal business name | Premier Internal Medicine Llc |
| DBA Doing business as | |
| Authorized official | Hussain, Syed K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Oct 2nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689651184 | NPPES |
| Illinois | MEDICAID | 036092117 |
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