Premier ER Services, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036.132627 Issued in IL

Legal business name

PREMIER ER SERVICES, LLC

Practice address

1867 N Bissell St
Unit #1a
Chicago, IL 60614-5012

Phone

(317) 213-9890

NPI assigned

Oct 30, 2013

Organization subpart

No

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

Authorized official

Name

David Nguyen, D.O.

Title

Manager

Phone

(317) 213-9890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1710315726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 N BISSELL ST",
            "address_2": "UNIT #1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145012",
            "telephone_number": "317-213-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 N BISSELL ST",
            "address_2": "UNIT #1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145012",
            "telephone_number": "317-213-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-213-9890",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.132627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Cardiovascular Institute Inc
• Premier Chiro PC
• Premier Communications & Marketing LLC (Premier 1 Medical Transport)
• Premier Dental Care P.C
• Premier Dentistry at Millennium Park LLC
• Premier Health Network LLC (Premier Urgent Care and Occ-Health Center)
• Premier Health Services, Inc (MRI of River North)
• Premier Home Health Care, Inc.
• Premier Homecare Supplies, LTD
• Premier Kinesiotherapy LLC

• Emergency Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.