Premiumhealthcare PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2011-0111 Issued in NM

Legal business name

PREMIUMHEALTHCARE PC

Practice address

16003 Executive Dr
Crest Hill, IL 60403-0500

Phone

(815) 838-9544

NPI assigned

Mar 8, 2017

Last updated

Feb 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose F Rivera Guerrero, MDNPI 1316190028

Title

Owner

Phone

(917) 543-1967

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Rivera Guerrero, M.D.

  • Internal Medicine Physician
  • Crest Hill, IL
  • NPI 1316190028
  Medicare reassignment Care Compare group NPD Authorized official
• Cristina Amelia Perez Gomez, MD

  • Internal Medicine Physician
  • Crest Hill, IL
  • NPI 1568718526
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1386184448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 EXECUTIVE DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030500",
            "telephone_number": "815-280-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 EXECUTIVE DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030500",
            "telephone_number": "815-838-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Highland Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605151558",
            "country_code": "US",
            "telephone_number": "815-280-5796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIUMHEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "RIVERA GUERRERO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-543-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2011-0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@premiumhealthcarepc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16003 Executive Dr",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604030500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristina Amelia Perez Gomez, MD
• Rafael A Perez-Guerra, MD
• Kenneth Thomas Perona, D.C.
• Jennifer J Planing, LCPC
• Premier Dermatology LTD
• Alexandria Prisco, LCPC, ATR
• Priziva Optical, LTD. (Pearle Vision)
• Kimberly Prosser, LPC
• Kayla Purdum, DC
• Quality Diagnostic Imaging,LLC

• Internal Medicine Physician in Crest Hill, IL
• Providers in Crest Hill, 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 7, 2025; 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.