PREMIER INTERNAL MEDICINE GROUP SC
NPI 1194730713
Internal Medicine in Riverside, IL

Active since July 30, 2006CLIA 14D2027593 · Waiver
2910 HARLEM AVE, RIVERSIDE, IL 60546(708) 447-4267(708) 447-2104 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Internal Medicine Group Sc NPPES

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

PREMIER INTERNAL MEDICINE GROUP SC (NPI 1194730713) is a healthcare organization registered as an internal medicine in Riverside, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Tahir Rohail, President, as its authorized official.

NPPES Registry Identity

NPI1194730713
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER INTERNAL MEDICINE GROUP SC
Location Address2910 HARLEM AVERiverside, IL 60546-1785
Mailing Address2910 S Harlem AveRiverside, IL 60546-1785 · (708) 447-4267 · Fax (708) 447-2104
Fax(708) 447-2104
Organization SubpartNo
Authorized OfficialTahir RohailPresident · (708) 447-4267
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 20, 2010
NPI 1194730713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036087235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2910 HARLEM AVE, Riverside, IL 60546

Other Identifiers 3

Medicare UPINF92645IL
Medicare ID-Type Unspecified212363/K21351IL
Medicaid036087235IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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 14D2027593

Premier Internal Medicine Group S C · Riverside, IL
Active · expires Jul 26, 2027
CLIA Number14D2027593
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorTahir Rohail
Laboratory Phone(708) 447-4267
Laboratory LocationPremier Internal Medicine Group S C2910 S Harlem Ave, Riverside, IL 60546
CLIA data matches this NPI record on: Address Phone
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.

Internal Medicine
2910 HARLEM AVE
RIVERSIDE, IL 60546
Internal Medicine
2910 HARLEM AVE
RIVERSIDE, IL 60546
Physician Assistant (Medical)
2910 HARLEM AVE
RIVERSIDE, IL 60546

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 Premier Internal Medicine Group Sc's NPI number?

The NPI number for Premier Internal Medicine Group Sc is 1194730713. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Premier Internal Medicine Group Sc located?

Premier Internal Medicine Group Sc is located at 2910 Harlem Ave, Riverside, IL 60546. The listed phone number is (708) 447-4267.

What is Premier Internal Medicine Group Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Premier Internal Medicine Group Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2027593) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Internal Medicine Group Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Premier Internal Medicine Group Sc 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 Premier Internal Medicine Group Sc was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.