1. Home
  2. Directory
  3. Illinois
  4. Alsip
  5. Clinic Center
  6. NPI Profile

PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1184362527
Clinic/Center - Multi-Specialty in Alsip, IL

Active since May 25, 2022CLIA 14D2272054 · Waiver
6195 W. 115TH ST., ALSIP, IL 60803(312) 262-7002(312) 262-7005 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 2, 2026, Aug 17, 2023, Feb 14, 2023 and 3 more (6 updates tracked since 2022).

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 1184362527), doing business as Eit Health And Wellness Center Operated By Premise Health, is a healthcare organization registered as a multi-specialty in Alsip, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1184362527
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL PC
Location Address6195 W. 115TH ST.Alsip, IL 60803
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(312) 262-7002
Fax(312) 262-7005
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMay 25, 2022
Last NPPES UpdateFebruary 2, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1184362527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6195 W. 115TH ST., Alsip, IL 60803
Open in Google Maps ↗

Other Names 1

Doing Business AsEit Health And Wellness Center Operated By Premise Health

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 14D2272054

Premise Health Of Illinois Medical, S C · Alsip, IL
Active · expires Nov 13, 2026
CLIA Number14D2272054
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorAmit Garg
Laboratory Phone(312) 262-7002
Laboratory LocationPremise Health Of Illinois Medical, S C6195 W 115th St - Ste A, Alsip, IL 60803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1184362527. It was assigned to this organization in the NPPES registry on May 25, 2022. The provider is doing business as EIT Health and Wellness Center Operated by Premise Health.

Where is Premise Health Of Illinois Medical PC located?

Premise Health Of Illinois Medical PC is located at 6195 W. 115th St., Alsip, IL 60803. The listed phone number is (312) 262-7002.

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 14D2272054) is associated with this NPI, valid through November 13, 2026. 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 7 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.