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PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1295518868
Clinic/Center - Multi-Specialty in Utica, IL

Active since August 16, 2023CLIA 14D2287978 · Waiver
740 E US HIGHWAY 6 STE B, UTICA, IL 61373(815) 310-5750(815) 310-1051 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Aug 21, 2023, Aug 16, 2023 (3 updates tracked since 2023).

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 1295518868), doing business as Mcl Health Center - Utica, is a healthcare organization registered as a multi-specialty in Utica, Illinois and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1295518868
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF ILLINOIS MEDICAL PC
Location Address740 E US HIGHWAY 6 STE BUtica, IL 61373-9755
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(815) 310-5750
Fax(815) 310-1051
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2023
Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1295518868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
740 E US HIGHWAY 6 STE B, Utica, IL 61373
Open in Google Maps ↗

Other Names 1

Doing Business AsMcl Health Center - Utica

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 14D2287978

Premise Health Of Illinois Medical, Sc · Utica, IL
Active · expires Aug 18, 2027
CLIA Number14D2287978
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorMichael Springer
Laboratory Phone(815) 310-5750
Laboratory LocationPremise Health Of Illinois Medical, Sc740 E Us Hwy 6, Utica, IL 61373
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.

JENNIFER WESTBROOK A.P.N.
Nurse Practitioner (Psychiatric/Mental Health)
740 E US HIGHWAY 6 STE B
UTICA, IL 61373
Lasalle County (815) 310-5750

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 1295518868. It was assigned to this organization in the NPPES registry on August 16, 2023. The provider is doing business as MCL Health Center - Utica.

Where is Premise Health Of Illinois Medical PC located?

Premise Health Of Illinois Medical PC is located at 740 E Us Highway 6 Ste B, Utica, IL 61373. The listed phone number is (815) 310-5750.

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 14D2287978) is associated with this NPI, valid through August 18, 2027. 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 10, 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.