PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1073025235
Clinic/Center - Multi-Specialty in Lisle, IL
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 1073025235), doing business as Carpenters Center For Health, is a healthcare organization registered as a multi-specialty in Lisle, Illinois and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premise Health Of Illinois Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Premise Health Of Illinois Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 64Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D2138631
Premise Health Of Illinois Medical, Sc · Lisle, ILFrequently 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 1073025235. It was assigned to this organization in the NPPES registry on October 27, 2017. The provider is doing business as Carpenters Center for Health and Macrc.
Where is Premise Health Of Illinois Medical PC located?
Premise Health Of Illinois Medical PC is located at 4979 Indiana Ave Ste 312, Lisle, IL 60532. The listed phone number is (312) 337-4150.
What is Premise Health Of Illinois Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Premise Health Of Illinois Medical PC enrolled in Medicare?
Yes. Premise Health Of Illinois Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premise Health Of Illinois Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 7 Medicare specialties reassign their Medicare billing to Premise Health Of Illinois Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Family Practice (13) and Physical Therapist in Private Practice (9). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premise Health Of Illinois Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2138631) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premise Health Of Illinois Medical PC accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Premise Health Of Illinois Medical PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premise Health Of Illinois Medical PC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Premise Health Of Illinois Medical Pc · NPI 1073025235
Multi-Specialty organization in Lisle, Illinois. Organization record, active in the CMS NPPES registry since October 27, 2017.
## Identity
- **NPI:** 1073025235 (Entity type: Organization)
- **Enumerated:** October 27, 2017
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Carpenters Center for Health (Doing Business As); MACRC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 4979 INDIANA AVE STE 312, Lisle, IL 60532
- **Phone:** (312) 337-4150 · **Fax:** (312) 337-4311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 64 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (13), Physical Therapist in Private Practice (9); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1073025235/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073025235) · Data from the CMS NPPES public registry.