PREMISE HEALTH OF ILLINOIS MEDICAL, PC

MOUNT VERNON, IL
NPI1427366921
Doing Business AsMOUNT VERNON HEALTHY LIVING CENTER
Doing Business AsMOUNT VERNON HEALTH CENTER MT VERNON
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies261QX0100X Clinic/Center, Occupational Medicine
Enumeration Date2010-09-17
Last Update Date2023-08-17
Business Address
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
5100 LAKE TERRANCE NE
MOUNT VERNON, IL 62864-9665
Phone number: 618-899-5001
Mailing Address
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number: