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PREMIER SUBURBAN MEDICAL GROUP, PLLC
NPI 1902412950
Clinic/Center - Multi-Specialty in Orland Park, IL

Active since September 16, 2020
17047 LA GRANGE RD., ORLAND PARK, IL 60487(815) 300-7664 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: Jan 19, 2023, Jun 8, 2021, Dec 4, 2020 and 2 more (5 updates tracked since 2020).

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 1902412950) is a healthcare organization registered as a multi-specialty in Orland Park, Illinois and active in the NPI registry since September 2020. The organization maintains a secondary practice location in New Lenox and lists Amy Owens, Director, Finance, as its authorized official.

NPPES Registry Identity

NPI1902412950
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
Phone(815) 300-7664
Organization SubpartNo
Authorized OfficialAmy OwensDirector, Finance · (815) 300-7764
Enumeration DateSeptember 16, 2020
Last NPPES UpdateMay 31, 20245 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1902412950 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
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Secondary Practice Location 1

Location 11900 Silver Cross BlvdNew Lenox, IL 60451-9509 · Phone (815) 300-7106

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 ›

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
Non-Pharmacy Dispensing Site
17047 LA GRANGE RD.
ORLAND PARK, IL 60487
Cook County (815) 300-7764
PREMIER SUBURBAN MEDICAL GROUP, PLLC
Clinic/Center (Multi-Specialty)
17047 LA GRANGE RD.
ORLAND PARK, IL 60487
Cook County (815) 300-7106

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 1902412950. It was assigned to this organization in the NPPES registry on September 16, 2020.

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) 300-7664.

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.

What insurance does Premier Suburban Medical Group, PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 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.