MEDICARE: PREMIER HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246YC3302X	Physician Office Based Coding Specialist

General Provider Information

NPI Number	:	1295434934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2720 S RIVER RD STE 116
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 S RIVER RD STE 116
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-4110
Country	:	US
Telephone Number	:	847-521-6589
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	PAUL KRUEGER
Credential	:
Telephone Number	:	847-521-6589

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	08/01/2024

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