Healthcare Provider Details

I. General information

NPI: 1538083316
Provider Name (Legal Business Name): PREMIER OAK PARK HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 W 9 MILE RD STE 1
OAK PARK MI
48237-2585
US

IV. Provider business mailing address

15300 W 9 MILE RD STE 1
OAK PARK MI
48237-2585
US

V. Phone/Fax

Practice location:
  • Phone: 470-592-1168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NORA LINARES
Title or Position: OWNER
Credential: DO
Phone: 470-592-1168