Premise Health Of Illinois Medical Pc
Specialty details in registry · Northbrook, IL
At a glance
4179 Dundee Rd Ste A106, Northbrook, IL 60062-2129
NPPES record updated Feb 13, 2026. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4179 Dundee Rd Ste A106Northbrook, IL 60062-2129
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM1300X
- Enumeration date
- May 24, 2022
- Record updated
- Feb 13, 2026
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM1300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4179 Dundee Rd Ste A106Northbrook, IL 60062-2129
- Phone
- (847) 402-2300
Mailing address
5500 MARYLAND WAY STE 120BRENTWOOD, TN 370274993
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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