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General NPI Number Information
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NPI Number | 1649634247
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Entity Type | Organization
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Legal Business Name | PREMIER FAMILY HEALTH AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 04/09/2016
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 2340 S HIGHLAND AVE STE 370
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City | LOMBARD
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State | IL
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Zip | 60148-5397
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Country | US
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Telephone | 630-445-1022
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Fax | 630-559-7377
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Provider Business Mailing Address
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Address Line | 2340 S HIGHLAND AVE STE 370
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City | LOMBARD
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State | IL
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Zip | 60148-5397
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Country | US
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Telephone | 630-445-1022
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Fax | 630-559-7377
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIDHA CHAKEER
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Credential |
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Telephone | 630-276-3291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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