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PREMISE HEALTH OF ILLINOIS MEDICAL, PC
NPI 1033494976
Clinic/Center - Primary Care in Deerfield, IL

Active since October 11, 2011CLIA 14D2032932 · Waiver
108 WILMOT RD, DEERFIELD, IL 60015(847) 580-0002(847) 374-0207 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Aug 17, 2023, Aug 15, 2022 and 2 more (5 updates tracked since 2020).

About Premise Health Of Illinois Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMISE HEALTH OF ILLINOIS MEDICAL, PC (NPI 1033494976), doing business as Walgreens Healthy Living Center Deerfield, is a healthcare organization registered as a primary care in Deerfield, Illinois and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1033494976
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL, PC
Location Address108 WILMOT RDDeerfield, IL 60015-5145
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(847) 580-0002
Fax(847) 374-0207
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 11, 2011
Last NPPES UpdateJanuary 28, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1033494976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
108 WILMOT RD, Deerfield, IL 60015
Open in Google Maps ↗

Other Names 2

Doing Business AsWalgreens Healthy Living Center Deerfield
Doing Business AsWalgreens Healthy Living Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2032932

Premise Health Of Illinois Medical, Sc · Deerfield, IL
Active · expires Jul 20, 2027
CLIA Number14D2032932
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorGeorge Patton MD
Laboratory Phone(847) 580-0002
Laboratory LocationPremise Health Of Illinois Medical, Sc108 Wilmot Rd, Deerfield, IL 60015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH ROSELLI JR.
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 999-2655
DAVID FIRESIDE LCMT
Specialist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 580-0002
DR. SASHIDARAN MANIKUM MOODLEY MD
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (312) 982-1242
WALGREEN CO
Pharmacy
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 914-3154
KARI COLEMAN PHARMD
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 825-5467
MARY LOU SANCHEZ RPH
Pharmacist
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (800) 345-1036
WALGREENS HEALTH MEDICAL GROUP P.A.
Clinic/Center
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (866) 740-7221
MITUL DESAI
Internal Medicine
108 WILMOT RD
DEERFIELD, IL 60015
Lake County (847) 580-0002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of Illinois Medical, PC's NPI number?

The NPI number for Premise Health Of Illinois Medical, PC is 1033494976. It was assigned to this organization in the NPPES registry on October 11, 2011. The provider is doing business as Walgreens Healthy Living Center Deerfield and Walgreens Healthy Living Health Center.

Where is Premise Health Of Illinois Medical, PC located?

Premise Health Of Illinois Medical, PC is located at 108 Wilmot Rd, Deerfield, IL 60015. The listed phone number is (847) 580-0002.

What is Premise Health Of Illinois Medical, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Premise Health Of Illinois Medical, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2032932) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Illinois Medical, PC was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.