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General NPI Number Information
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NPI Number | 1154120913
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Entity Type | Organization
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Legal Business Name | PREMIER URGENT CARE LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 4769 W CERMAK RD # PAD02B
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City | CICERO
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State | IL
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Zip | 60804-2508
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Country | US
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Telephone | 312-833-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 4769 W CERMAK RD # PAD02B
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City | CICERO
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State | IL
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Zip | 60804-2508
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Country | US
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Telephone | 312-833-8338
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. PUNEET DHILLON GREWAL
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Credential | MD
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Telephone | 312-860-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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