Active NPI
Premier Primary Care and Alternative Medicine
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PREMIER PRIMARY CARE AND ALTERNATIVE MEDICINE
- Practice address
- 1301 E 47TH Street
BLDG 2 Suite B
Chicago, IL 60653 - Phone
- (773) 891-2890
- Fax
- (773) 891-4107
- NPI assigned
- Jan 22, 2021
- Organization subpart
- Yes
- Parent organization
- PREMIER HEALTH NETWORK LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reuben C Rutland I, MD, MBA
- Title
- Chief Operation Officer
- Phone
- (574) 276-7184
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1301 E 47TH Street
BLDG 2 Suite B
Chicago, IL 60653
Mailing address
1301 E 47TH Street
BLDG 2 Suite B
Chicago, IL 60653
Phone (773) 891-2890
National Provider Directory
National Provider Directory- Part of
- Premier Health Network LLC
Locations
1301 E 47th St
Ste B
Chicago, IL 60653
Phone (773) 891-2890
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1053897165
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Merrillville, IN
- NPI 1912992173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1003406000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 E 47TH STREET",
"address_2": "BLDG 2 SUITE B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60653",
"telephone_number": "773-891-2890",
"fax_number": "773-891-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E 47TH STREET",
"address_2": "BLDG 2 SUITE B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60653",
"telephone_number": "773-891-2890",
"fax_number": "773-891-4107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PRIMARY CARE AND ALTERNATIVE MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PREMIER HEALTH NETWORK LLC",
"enumeration_date": "2021-01-22",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A",
"authorized_official_last_name": "RUTLAND",
"authorized_official_first_name": "REUBEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
"authorized_official_telephone_number": "574-276-7184",
"authorized_official_name_suffix": "I",
"authorized_official_credential": "MD, MBA"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Premier Health Services, Inc
- Premier Home Health Care, Inc.
- Premier Homecare Supplies, LTD
- Premier Kinesiotherapy LLC
- Premier Point Home Health, Inc.
- Premier Speech Therapy, LTD
- Premier Therapy, LLC
- Premiercare Anesthesia & Pain P.C.
- Premise Health of Illinois Medical PC
- Premise Health of Illinois Medical PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.