PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1093482002
Clinic/Center - Multi-Specialty in Chicago, IL

Active since August 26, 2021CLIA 14D2254571 · Waiver
333 W WACKER DR, CHICAGO, IL 60606(615) 468-3188 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Aug 17, 2023, Aug 15, 2022 and 1 more (4 updates tracked since 2021).

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 1093482002), doing business as Living Well Health & Wellness Center, is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1093482002
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL PC
Location Address333 W WACKER DRChicago, IL 60606-1220
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 26, 2021
Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1093482002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
333 W WACKER DR, Chicago, IL 60606

Other Names 1

Doing Business AsLiving Well Health & Wellness 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 14D2254571

Premise Health Of Illinois Medical, Sc · Chicago, IL
Active · expires Mar 3, 2028
CLIA Number14D2254571
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorGeorge Patton
Laboratory Phone(312) 917-7872
Laboratory LocationPremise Health Of Illinois Medical, Sc333 W Wacker Dr -27th Flr, Chicago, IL 60606
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
333 W WACKER DR
CHICAGO, IL 60606
Counselor (Professional)
333 W WACKER DR
CHICAGO, IL 60606
Social Worker (Clinical)
333 W WACKER DR, AETNA BETTER HEALTH OF ILLINOIS
CHICAGO, IL 60606

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 1093482002. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is doing business as Living Well Health & Wellness Center.

Where is Premise Health Of Illinois Medical PC located?

Premise Health Of Illinois Medical PC is located at 333 W Wacker Dr, Chicago, IL 60606. The listed phone number is (615) 468-3188.

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 14D2254571) is associated with this NPI, valid through March 3, 2028. 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 February 2, 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.