Premium Practitioners Plus Inc.

LBN: Premium Practitioners Plus Inc.
Premium Practitioners Plus Inc. is an health care organization with primary practice located at 19801 Governors Hwy Ste 140 , Flossmoor IL 60422-4363. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Premium Practitioners Plus Inc. can be contacted via phone (708) 635-6484, or through Thompson- Jones, Talia via phone (708) 991-2945.

Contact Information

Primary practice address
19801 Governors Hwy Ste 140 Flossmoor IL 60422-4363
Fax: (312) 585-5620
Website:
Authorized official contact:
Name: Thompson- Jones, Talia FPA APRN, DNP

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1194296533
LBN Legal business name Premium Practitioners Plus Inc.
DBA Doing business as
Authorized official Thompson- Jones, Talia FPA APRN, DNP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2018
Last updated Dec 7th, 2022 - about 4 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 1194296533 NPPES
Illinois MEDICAID F400625230

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