Healthcare Provider Details

I. General information

NPI: 1346151578
Provider Name (Legal Business Name): PREMIER HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4769 W CERMAK RD STE B
CICERO IL
60804-2508
US

IV. Provider business mailing address

4769 W CERMAK RD STE B
CICERO IL
60804-2508
US

V. Phone/Fax

Practice location:
  • Phone: 708-982-3898
  • Fax: 708-943-6007
Mailing address:
  • Phone: 708-982-3898
  • Fax: 708-943-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code246XC2903X
TaxonomyVascular Specialist/Technologist Cardiovascular
License Number
License Number State

VIII. Authorized Official

Name: MR. JASPINDER GREWAL
Title or Position: PARTNER
Credential: MBA
Phone: 312-833-8338