PREMISE HEALTH OF ILLINOIS MEDICAL, PC

ROCKFORD, IL
NPI1770999872
Entity TypeOrganization
Authorized ContactJON LEIZMAN
President
615-468-6270
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2014-07-09
Last Update Date2023-08-21
Business Address
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
2801 S SPRINGFIELD AVE
ROCKFORD, IL 61102-4205
Phone number: 815-721-8288
Mailing Address
PREMISE HEALTH OF ILLINOIS MEDICAL, PC
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone number:
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