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PREMIUMHEALTHCARE PC
NPI 1386184448
Internal Medicine in Crest Hill, IL

Active since March 08, 2017CLIA 14D2133911 · Waiver
16003 EXECUTIVE DR, CREST HILL, IL 60403(815) 838-9544 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2025, Feb 27, 2023 (2 updates tracked since 2023).

About Premiumhealthcare Pc NPPES

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

PREMIUMHEALTHCARE PC (NPI 1386184448) is a healthcare organization registered as an internal medicine in Crest Hill, Illinois and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 5, 2028, maintains a secondary practice location in Downers Grove, and lists Jose F Rivera Guerrero, Owner, as its authorized official.

NPPES Registry Identity

NPI1386184448
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIUMHEALTHCARE PC
Location Address16003 EXECUTIVE DRCrest Hill, IL 60403-0500
Mailing Address16003 Executive DrCrest Hill, IL 60403-0500 · (815) 280-5796
Phone(815) 838-9544
Organization SubpartNo
Authorized OfficialJose F Rivera GuerreroOwner · (917) 543-1967
Enumeration DateMarch 8, 2017
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1386184448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2011-0111
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16003 EXECUTIVE DR, Crest Hill, IL 60403
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Secondary Practice Location 1

Location 13800 Highland Ave Ste 111Downers Grove, IL 60515-1558 · Phone (815) 280-5796

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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 14D2133911

Premium Health Care PC · Crest Hill, IL
Active · expires Apr 5, 2028
CLIA Number14D2133911
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorJose Rivera
Laboratory Phone(815) 280-5796
Laboratory LocationPremium Health Care PC16003 Executive Dr, Crest Hill, IL 60403
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

JOSE RIVERA GUERRERO M.D.
Internal Medicine
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 280-5796
IBSEN LLC
General Practice
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 744-2344
RAFAEL PEREZ-GUERRA
Family Medicine
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 838-9544
CRISTINA AMELIA PEREZ GOMEZ MD
Internal Medicine
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 838-9544
RAFAEL A PEREZ-GUERRA MD
Family Medicine
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 838-9544
IBSEN, LLC
Clinic/Center
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 838-9544
KARINA LOPEZ
Nurse Practitioner (Family)
16003 EXECUTIVE DR
CREST HILL, IL 60403
Will County (815) 280-5796

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 Premiumhealthcare PC's NPI number?

The NPI number for Premiumhealthcare PC is 1386184448. It was assigned to this organization in the NPPES registry on March 8, 2017.

Where is Premiumhealthcare PC located?

Premiumhealthcare PC is located at 16003 Executive Dr, Crest Hill, IL 60403. The listed phone number is (815) 838-9544.

What is Premiumhealthcare PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Premiumhealthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2133911) is associated with this NPI, valid through April 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiumhealthcare PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Premiumhealthcare PC 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 Premiumhealthcare PC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.