Healthcare Provider Details

I. General information

NPI: 1487578571
Provider Name (Legal Business Name): PML HEALTHCARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S PULASKI RD
CHICAGO IL
60624-3653
US

IV. Provider business mailing address

2501 CHATHAM RD
SPRINGFIELD IL
62704-4184
US

V. Phone/Fax

Practice location:
  • Phone: 872-338-4996
  • Fax:
Mailing address:
  • Phone: 872-338-4996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA MARIE LOWE
Title or Position: OWNER
Credential: FNP-BC
Phone: 872-338-4996