PREMIER SUBURBAN MEDICAL GROUP, PLLC
NPI 1528642378
Clinic/Center - Multi-Specialty in Orland Park, IL

Active since May 07, 2021
17047 LA GRANGE RD., ORLAND PARK, IL 60487(815) 300-7106 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2024, Jun 8, 2021, May 7, 2021 (3 updates tracked since 2021).

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 1528642378) is a healthcare organization registered as a multi-specialty in Orland Park, Illinois and active in the NPI registry since May 2021. The organization lists Amy Owens, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1528642378
Entity TypeOrganization
Primary Taxonomy261QM1300X
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 · (815) 300-7106
Organization SubpartNo
Authorized OfficialAmy OwensDirector Of Finance · (815) 300-7764
Enumeration DateMay 7, 2021
Last NPPES UpdateMay 31, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
NPI 1528642378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
17047 LA GRANGE RD., Orland Park, IL 60487

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.

Non-Pharmacy Dispensing Site
17047 LA GRANGE RD.
ORLAND PARK, IL 60487
Clinic/Center (Multi-Specialty)
17047 LA GRANGE RD.
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 1528642378. It was assigned to this organization in the NPPES registry on May 7, 2021.

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) 300-7106.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Premier Suburban Medical Group, PLLC was last updated on May 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.