PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1477881845
Clinic/Center - Health Service in Chicago, IL
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 1477881845), doing business as Premise Health Wellness Center, is a healthcare organization registered as a health service in Chicago, Illinois and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 14D2002385
Premise Health Of Illinois Medical, Sc · Chicago, ILFrequently 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 1477881845. It was assigned to this organization in the NPPES registry on November 24, 2009. The provider is doing business as Premise Health Wellness Center.
Where is Premise Health Of Illinois Medical PC located?
Premise Health Of Illinois Medical PC is located at 300 E Randolph St # Cl404, Chicago, IL 60601. The listed phone number is (312) 653-3300.
What is Premise Health Of Illinois Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Does Premise Health Of Illinois Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2002385) is associated with this NPI, valid through January 13, 2028. 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 11, 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.
# Premise Health Of Illinois Medical Pc · NPI 1477881845
Health Service organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since November 24, 2009.
## Identity
- **NPI:** 1477881845 (Entity type: Organization)
- **Enumerated:** November 24, 2009
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Also known as:** Premise Health Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 300 E RANDOLPH ST # CL404, Chicago, IL 60601-5099
- **Phone:** (312) 653-3300 · **Fax:** (312) 653-3398
## Record status
- **NPPES last updated:** February 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477881845) · Data from the CMS NPPES public registry.