Premiere Family Health Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036119432 Issued in IL

Legal business name

PREMIERE FAMILY HEALTH INC

Practice address

5600 W 87TH St
Burbank, IL 60459-2902

Phone

(708) 952-0000

Fax

(708) 529-7195

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Steve Elmosa, DO

Title

Practice Manager

Phone

(708) 200-6615

Specialties & licenses 1

Addresses

Other identifiers 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

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1437541000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-952-0000",
            "fax_number": "708-529-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W 87TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592902",
            "telephone_number": "708-952-0000",
            "fax_number": "708-529-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE FAMILY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "ELMOSA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "708-200-6615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036119432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036119432",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Piech
• Sheena L Pierce, NP
• Gopal K. Popli, M.D.
• Neenu Prasad, M.D.
• Premier Family Pharmacy Inc (Premier Family Pharmacy)
• Premiere Imaging and Open MRI Inc
• Anita Jolanta Prusak
• Jason Timothy Pursley, D.C.
• Arub Qureshi, OD
• Sylvia B Rabianski, LCPC

• Internal Medicine Physician in Burbank, IL
• Providers in Burbank, 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 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.