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PREMIER SUBURBAN MEDICAL GROUP, PLLC
NPI 1376270843
Non-Pharmacy Dispensing Site in Orland Park, IL

Active since August 04, 2022CLIA Certified · 2 labs
17047 LA GRANGE RD., ORLAND PARK, IL 60487(815) 300-7764 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2024, Apr 15, 2024, Aug 4, 2022 (3 updates tracked since 2022).

About Premier Suburban Medical Group, Pllc NPPES

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

PREMIER SUBURBAN MEDICAL GROUP, PLLC (NPI 1376270843) is a healthcare organization registered as a non-pharmacy dispensing site in Orland Park, Illinois and active in the NPI registry since August 2022. The organization holds 2 active CLIA laboratory certificates and lists Refat Baridi, Physician, as its authorized official.

NPPES Registry Identity

NPI1376270843
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePREMIER SUBURBAN MEDICAL GROUP, PLLC
Location Address17047 LA GRANGE RD.Orland Park, IL 60487-1913
Mailing Address1900 Silver Cross BlvdNew Lenox, IL 60451-9509
Phone(815) 300-7764
Organization SubpartNo
Authorized OfficialRefat BaridiPhysician · (815) 300-7764
Enumeration DateAugust 4, 2022
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1376270843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
17047 LA GRANGE RD., Orland Park, IL 60487
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2236621

Premier Suburban Medical Group - Sch Campus Pav A · New Lenox, IL
Active · expires Sep 16, 2027
CLIA Number14D2236621
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorEsmond Yen
Laboratory Phone(815) 300-7764
Laboratory LocationPremier Suburban Medical Group - Sch Campus Pav A1890 Silver Cross Blvd - Ste 315, New Lenox, IL 60451
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 14D2271251

Premier Suburban Medical Group - Lockport · Lockport, IL
Active · expires Oct 30, 2026
CLIA Number14D2271251
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorJoseph Lach
Laboratory Phone(815) 300-7764
Laboratory LocationPremier Suburban Medical Group - Lockport16622 W 159th St - Ste 501, Lockport, IL 60441
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PREMIER SUBURBAN MEDICAL GROUP, PLLC
Clinic/Center (Multi-Specialty)
17047 LA GRANGE RD.
ORLAND PARK, IL 60487
Cook County (815) 300-7106
PREMIER SUBURBAN MEDICAL GROUP, PLLC
Clinic/Center (Multi-Specialty)
17047 LA GRANGE RD.
ORLAND PARK, IL 60487
Cook County (815) 300-7664

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 Suburban Medical Group, PLLC's NPI number?

The NPI number for Premier Suburban Medical Group, PLLC is 1376270843. It was assigned to this organization in the NPPES registry on August 4, 2022.

Where is Premier Suburban Medical Group, PLLC located?

Premier Suburban Medical Group, PLLC is located at 17047 La Grange Rd., Orland Park, IL 60487. The listed phone number is (815) 300-7764.

What is Premier Suburban Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Premier Suburban Medical Group, PLLC 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.

What insurance does Premier Suburban Medical Group, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Premier Suburban Medical Group, PLLC 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 Suburban Medical Group, PLLC was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.