Healthcare Provider Details

I. General information

NPI: 1225030794
Provider Name (Legal Business Name): PREMIER HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2005
Last Update Date: 07/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GOLF RD SUITE 100
ROLLING MEADOWS IL
60008-4274
US

IV. Provider business mailing address

2100 GOLF RD SUITE 100
ROLLING MEADOWS IL
60008-4274
US

V. Phone/Fax

Practice location:
  • Phone: 847-228-0834
  • Fax: 847-228-0864
Mailing address:
  • Phone: 847-228-0834
  • Fax: 847-228-0864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTY MCGILL
Title or Position: FACILITY MANAGER
Credential:
Phone: 972-215-7410