Premier Wellness Care Inc.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PREMIER WELLNESS CARE INC.

Practice address

400 Higgins Rd
Park Ridge, IL 60068-5751

Phone

(847) 425-9089

Fax

(847) 886-4158

NPI assigned

Jul 2, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Janet Guinsatao

Title

Program Manager

Phone

(312) 898-5064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth P Diaz, MD

  • Pediatric Nurse Practitioner
  • Chicago, IL
  • NPI 1013004639
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1255695557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S LA SALLE ST",
            "address_2": "STE 2600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033801",
            "telephone_number": "312-898-5064",
            "fax_number": "847-886-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGGINS RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685751",
            "telephone_number": "847-425-9089",
            "fax_number": "847-886-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "GUINSATAO",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "312-898-5064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preetha Ambika Prazad, M.D.
• Precision Performance and Sports Medicine
• Christine D Prekezes, MD
• Premier Rehab Services LLC
• Premier Wellcare, Inc.
• Premiere Anesthesia Group LLC
• Lauren K Prescott
• Presence Ambulatory Services
• Presence Ambulatory Services
• Presence Healthcare Services

• Physician Assistant in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.