PREMIER SUBURBAN MEDICAL GROUP, PLLC
NPI 1376270843
Non-Pharmacy Dispensing Site in Orland Park, IL
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 a CLIA Waiver certificate valid through October 30, 2026 and lists Refat Baridi, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 14D2271251
Premier Suburban Medical Group - Lockport · Lockport, ILOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORLAND PARK, IL 60487
ORLAND PARK, IL 60487
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 a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2271251) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Premier Suburban Medical Group, Pllc · NPI 1376270843
Non-Pharmacy Dispensing Site organization in Orland Park, Illinois. Organization record, active in the CMS NPPES registry since August 4, 2022.
## Identity
- **NPI:** 1376270843 (Entity type: Organization)
- **Enumerated:** August 4, 2022
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Organization subpart:** No
- **Authorized official:** Refat Baridi, PHYSICIAN
## Practice location
- **Address:** 17047 LA GRANGE RD., Orland Park, IL 60487-1913
- **Phone:** (815) 300-7764
## Record status
- **NPPES last updated:** July 31, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376270843) · Data from the CMS NPPES public registry.