PREMIER PRIMARY CARE AND ALTERNATIVE HEALTH CENTER
Family Medicine

Address: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653

PREMIER PRIMARY CARE AND ALTERNATIVE HEALTH CENTER (NPI# 1003406000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003406000
Entity Type Organization
Organization Name PREMIER PRIMARY CARE AND ALTERNATIVE HEALTH CENTER
Practice Address 1301 E 47th Street
Bldg 2 Suite B
Chicago
IL 60653
Practice Telephone 7738912890
Practice Fax Number 7738914107
Mailing Address 1301 E 47th Street
Bldg 2 Suite B
Chicago
IL 60653
Mailing Telephone 7738912890
Mailing Fax Number 7738914107
Certification Date 2021-01-26
Enumeration Date 2021-01-22
Last Update Date 2021-01-26
Authorized Official Telephone 5742767184
Authorized Official Credential MD, MBA
Is Organization Subpart Y
Parent Organization Name PREMIER HEALTH NETWORK LLC

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
N 207Q00000X Family Medicine 193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 193200000X MULTI-SPECIALTY GROUP Allopathic & Osteopathic Physicians

Office Location

Street Address 1301 E 47TH STREET
BLDG 2 SUITE B
City CHICAGO
State IL
Zip Code 60653

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1083217061 Mark Harris Counselor 4235 S King Drive Ave Unit 1, Chicago, IL 60653 2020-11-20
1881215804 Pamela Ann Brazelton-Sykes Counselor Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 2020-04-30
1962915439 Pickup Transport Lllp Non-emergency Medical Transport (VAN) 4418 S. Oakenwald Ave, Chicago, IL 60653 2017-11-07
1245758309 Qi Wellness LLC Case Management 525 E 46th Place, Chicago, IL 60653 2017-09-08
1598202897 Fadesire O Ajuwon Registered Nurse 4218 S King Dr, 1n, Chicago, IL 60653 2017-01-24
1013464619 Roundys Supermarkets Inc · Marianos Pharmacy #8539 Pharmacy · Community/Retail Pharmacy 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 2016-09-01
1417384793 Griffin Orthodontics PC · Ivory Dental Specialist LLC Dentist · Orthodontics and Dentofacial Orthopedics 1040 E 47th Street, Chicago, IL 60653 2013-10-02
1114350659 Carita Dale Johnson Pharmacist 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 2013-08-20
1245677848 Mercy Diagnostic and Treatment Center · Mercy Family Health Center Fqhc Clinic/Center · Federally Qualified Health Center (FQHC) 3755 S Cottage Grove, Chicago, IL 60653 2013-05-23
1952745937 Mercy Community Pharmacy At Oakwood Shores Pharmacy · Community/Retail Pharmacy 3753 S. Cottage Grove, Chicago, IL 60653 2013-04-22
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063001238 Higi Care Network (de), P.a. 100 S Wacker Dr Ste 1600, Chicago, IL 60606-4082 2021-01-13
1922606193 Thatiana Carolina Schulze Goni 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 2020-10-11
1750995742 Eva Bartaula 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 2020-09-07
1750994513 Ranjit Babu Jasaraj 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 2020-08-30
1871106005 Vijay Ketan Reddy 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 2020-08-27
1144839739 Sandhya Shri Kannayiram 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1871119172 Irina Komissarova 916 S Oakley Blvd, Chicago, IL 60612-4230 2020-06-22
1336760719 Arslan Zahid 5847 S Maryland Ave, Chicago, IL 60637-1463 2020-04-27
1104447572 Nirmal Desai 5841 S Maryland Ave., M/C 7082, Chicago, IL 60637-1443 2020-04-27
1467072447 Justin Edmond Sipiora 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 2020-04-20
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City CHICAGO
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.