Premiere General Medicine S C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095309 Issued in IL

Legal business name

PREMIERE GENERAL MEDICINE S C

Practice address

7270 W College Dr Ste 102
Palos Heights, IL 60463-1287

Phone

(708) 603-5980

Fax

(708) 589-9059

NPI assigned

Sep 10, 2013

Organization subpart

No

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

Authorized official

Name

Nicholas Rizzo, MDNPI 1669447272

Title

President

Phone

(708) 334-7929

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Premiere General Medicine S C

  dba Nicholas Rizzo

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1851670566

  O20111011000687

  Same enrollment

Locations

Practitioners 6

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

• Nicholas Rizzo, M.D.

  • Internal Medicine Physician
  • South Bend, IN
  • NPI 1669447272

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Holly Ann Rybak, FNP-BC

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1578380697
  Medicare reassignment Care Compare group NPD
• Kristin Simerdla Doyle, NP-C

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1255874335
  Medicare reassignment NPD
• Catherine Marie Mendenhall, NP

  • Family Nurse Practitioner
  • Manhattan, IL
  • NPI 1982466603
  Medicare reassignment NPD
• Thomas Lee Waidzunas, M.D.

  • Family Medicine Physician
  • Palos Heights, IL
  • NPI 1114931862
  Medicare reassignment NPD
• Connie Cunanan

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1053270025
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1437584364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 W COLLEGE DR STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631287",
            "telephone_number": "708-334-7929",
            "fax_number": "708-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 W COLLEGE DR STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631287",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE GENERAL MEDICINE S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-334-7929",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1669447272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Potter, LCPC
• Pradeep a Keni M D S C
• Rory John Pranger, DDS MS
• Prarie State Rehabilitation, LLC
• Premier Neurology Consultants LLC
• Premiere General Medicine S C (Nicholas Rizzo)
• Presence Behavioral Health
• Scott P Price, M.D.
• Primal Chiropractic LTD.
• Prime Cardiac Association P C

• Internal Medicine Physician in Palos Heights, IL
• Providers in Palos Heights, 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 21, 2026; 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.