Premier Health Partners, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036069581 Issued in IL

Legal business name

PREMIER HEALTH PARTNERS, LLC

Practice address

1442 Merchant Dr
Algonquin, IL 60102-5917

Phone

(224) 622-5718

NPI assigned

Aug 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Safder Mohsin, MD

Title

President

Phone

(224) 622-5718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premier Health Partners, LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1174798318

  O20080613000559

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1194972257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "224-622-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "224-622-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "MOHSIN",
        "authorized_official_first_name": "SAFDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-622-5718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christianna Potter, DDS
• Christopher Robert Pottorff, D.M.D.
• Christine M Poulos, MD
• Richard Edward Powell, M.D.
• Precision Eye Care LLC
• Premier Health Services, Inc. (Premier Open MRI of McHenry County)
• Proactive Behavioral Services
• Proactive Behavioral Services
• Proano Behavioral Health, PLLC
• Diane Proano, PMHNP-BC

• Internal Medicine Physician in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.