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PREMIER VASCULAR, LLC
NPI 1366890782
Internal Medicine - Interventional Cardiology in Merrionette Park, IL

Active since May 26, 2016
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803(708) 478-3600(708) 478-3553 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2016, Sep 28, 2016 (2 updates tracked since 2016).

About Premier Vascular, Llc NPPES

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

PREMIER VASCULAR, LLC (NPI 1366890782) is a healthcare organization registered as an interventional cardiology in Merrionette Park, Illinois and active in the NPI registry since May 2016. The organization lists Mark Berlin, Coo, as its authorized official.

NPPES Registry Identity

NPI1366890782
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePREMIER VASCULAR, LLC
Location Address11560 S KEDZIE AVEMerrionette Park, IL 60803-4517
Mailing Address11560 S Kedzie AveMerrionette Park, IL 60803-4517 · (708) 972-7525 · Fax (708) 972-7526
Phone(708) 478-3600
Fax(708) 478-3553
Organization SubpartNo
Authorized OfficialMark BerlinCoo · (708) 478-3600
Enumeration DateMay 26, 2016
Last NPPES UpdateOctober 25, 20162 updates tracked since enumeration
✔ NPI 1366890782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
11560 S KEDZIE AVE, Merrionette Park, IL 60803
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Other Identifiers 1

OtherF100329328IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MEGHAN ALSTROM
Behavior Technician
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (708) 227-1885
ALEXANDER ESTRADA I B.A
Case Manager/Care Coordinator
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (872) 315-6494
BRENAE T. SCOTT
Peer Specialist
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (708) 882-9875
DELPINE WILLIAMS
Social Worker
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (708) 974-5826
SAFFIYA SHILLO BSW
Counselor (Mental Health)
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (773) 395-0705
ASHLEY STASZAK
Behavior Technician
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (708) 792-0162
BLONDELLA BROWN
Counselor (Mental Health)
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (773) 718-3515
AMANDA NATALIE BAGBY MA, BCBA, LBA
Behavior Analyst
11560 S KEDZIE AVE
MERRIONETTE PARK, IL 60803
Cook County (708) 792-0162

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 Vascular, LLC's NPI number?

The NPI number for Premier Vascular, LLC is 1366890782. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is Premier Vascular, LLC located?

Premier Vascular, LLC is located at 11560 S Kedzie Ave, Merrionette Park, IL 60803. The listed phone number is (708) 478-3600.

What is Premier Vascular, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Premier Vascular, LLC was last updated on October 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.