Healthcare Provider Details

I. General information

NPI: 1649634247
Provider Name (Legal Business Name): PREMIER FAMILY HEALTH AND WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2016
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 S HIGHLAND AVE STE 370
LOMBARD IL
60148-5397
US

IV. Provider business mailing address

2340 S HIGHLAND AVE STE 370
LOMBARD IL
60148-5397
US

V. Phone/Fax

Practice location:
  • Phone: 630-445-1022
  • Fax: 630-559-7377
Mailing address:
  • Phone: 630-445-1022
  • Fax: 630-559-7377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RIDHA CHAKEER
Title or Position: PRESIDENT
Credential:
Phone: 630-276-3291