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PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1073025235
Clinic/Center - Multi-Specialty in Lisle, IL

Active since October 27, 2017CLIA 14D2138631 · Waiver
4979 INDIANA AVE STE 312, LISLE, IL 60532(312) 337-4150(312) 337-4311 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Dec 11, 2025, Aug 17, 2023 and 4 more (7 updates tracked since 2017).

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

NPI1073025235
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL PC
Location Address4979 INDIANA AVE STE 312Lisle, IL 60532
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(312) 337-4150
Fax(312) 337-4311
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 27, 2017
Last NPPES UpdateJanuary 29, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1073025235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4979 INDIANA AVE STE 312, Lisle, IL 60532
Open in Google Maps ↗

Other Names 2

Doing Business AsCarpenters Center For Health
Doing Business AsMacrc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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, IL
Active · expires Oct 22, 2027
CLIA Number14D2138631
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorKavitha Bathala
Laboratory Phone(312) 337-4150
Laboratory LocationPremise Health Of Illinois Medical, Sc4979 Indiana Ave - Ste 312, Lisle, IL 60532
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

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

MEGAN FOODY SKARR APRN, FNP-C
Nurse Practitioner (Family)
4979 INDIANA AVE STE 312
LISLE, IL 60532
Dupage County (312) 337-4150

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 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.

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 Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, 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 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.