Premier Internists of Naperville Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036099820 Issued in IL

Legal business name

PREMIER INTERNISTS OF NAPERVILLE INC.

Practice address

620 N River Rd
Ste 102
Naperville, IL 60563-8950

Phone

(630) 355-4755

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Cicily JonesNPI 1255396511

Title

Owner

Phone

(630) 355-4755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Cicily Jones, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1255396511
  Medicare reassignment Care Compare group NPD Authorized official
• Litty Cyriac, NP-C

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1407379324
  Medicare reassignment Care Compare group NPD
• Sumitha V Panicker, M.D.

  • Internal Medicine Physician
  • Bolingbrook, IL
  • NPI 1528279577
  Medicare reassignment NPD
• Treesa J Thomas, N.P

  • Family Nurse Practitioner
  • Hinsdale, IL
  • NPI 1063949840
  Medicare reassignment NPD
• Erin Nicole Diemer, PA-C

  • Physician Assistant
  • Naperville, IL
  • NPI 1205636529
  Medicare reassignment NPD (past)
• Haidee Maura Polgar, NP

  • Adult Health Nurse Practitioner
  • Naperville, IL
  • NPI 1568983765
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1356732226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N RIVER RD",
            "address_2": "STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638950",
            "telephone_number": "630-355-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N RIVER RD",
            "address_2": "STE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638950",
            "telephone_number": "630-355-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNISTS OF NAPERVILLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CICILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-4755"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision ABA
• Tracey L Predkelis, PHARMD
• Catherine Predki, CCC-SLP
• Stella Lucia Preis
• Premier Care for Women PLLC
• Premier Internists S.C.
• Premier Medical Products Inc
• Premier Surgical Assistants
• Premier Surgical Assistants, Inc.
• Premiercare Consulting, LLC

• Internal Medicine Physician in Naperville, IL
• Providers in Naperville, 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 Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.