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PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1235584475
Clinic/Center - Multi-Specialty in Chicago, IL

Active since April 25, 2016CLIA Certified · 2 labs
TERMINAL 3, K19 CONCOURSE, RAMP LEVEL RM 100, TOUHY & MT PROSPECT RD, CHICAGO, IL 60666(773) 686-3912(773) 686-4662 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Aug 21, 2023, Aug 15, 2022 and 2 more (5 updates tracked since 2016).

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 1235584475), doing business as Premise Health Clinic, is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1235584475
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL PC
Location AddressTERMINAL 3, K19 CONCOURSE, RAMP LEVEL RM 100, TOUHY & MT PROSPECT RDChicago, IL 60666
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(773) 686-3912
Fax(773) 686-4662
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateApril 25, 2016
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1235584475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
TERMINAL 3, K19 CONCOURSE, RAMP LEVEL RM 100, Chicago, IL 60666
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Other Names 1

Doing Business AsPremise Health Clinic

CLIA Laboratory Certificates CMS CLIA 2

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 14D2113311

Premise Health Of Illinois Medical, Sc · Chicago, IL
Active · expires May 18, 2028
CLIA Number14D2113311
Laboratory TypePhysician Office
Certificate Effective DateMay 19, 2026
Certificate Expiration DateMay 18, 2028
Laboratory DirectorKenyatta Evans-Snulligan
Laboratory Phone(773) 686-3912
Laboratory LocationPremise Health Of Illinois Medical, ScO'hare Airport, Terminal 3, K19 Concourse Ramp Level, Room 100, Chicago, IL 60666
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2051627

Premise Health Of Illinois Medical, Sc · Chicago, IL
Active · expires Dec 20, 2026
CLIA Number14D2051627
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorPhilippa Norman
Laboratory Phone(773) 601-2525
Laboratory LocationPremise Health Of Illinois Medical, Sc1161 W Touhy Ave, Chicago, IL 60666
CLIA data matches this NPI record on: Name
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 1235584475. It was assigned to this organization in the NPPES registry on April 25, 2016. The provider is doing business as Premise Health Clinic.

Where is Premise Health Of Illinois Medical PC located?

Premise Health Of Illinois Medical PC is located at Terminal 3, K19 Concourse, Ramp Level Rm 100 Touhy & Mt Prospect Rd, Chicago, IL 60666. The listed phone number is (773) 686-3912.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Illinois Medical PC was last updated on February 3, 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.