Organization Active NPI

Premiere General Medicine S C

  • Internal Medicine Physician
  • Palos Heights, IL
National Provider Identifier
1851670566
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085309 Issued in IL
Legal business name
PREMIERE GENERAL MEDICINE S C
Practice address
7270 W. College Drive Ste. 102
Premiere General Medicine SC
Palos Heights, IL 60463-1180
Phone
(708) 603-5980
Fax
(708) 589-9059
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Nicholas Rizzo, MD
Title
President
Phone
(708) 334-7929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036085309 IL Primary

Addresses

Primary practice location

7270 W. College Drive Ste. 102
Premiere General Medicine SC
Palos Heights, IL 60463-1180

Mailing address

7270 W College Dr Ste 102
Palos Heights, IL 60463-1287
Phone (708) 603-5980

Other names 1

  • Nicholas Rizzo Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111011000687 IL Part B Supplier - Clinic/Group Practice 7719159961 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: La Grange, IL; Palos Heights, IL; Hinsdale, IL; Oak Lawn, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2067758Nicholas Rizzo M D7270 W College Dr, Unit 102, Palos Heights, IL 60463Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1851670566",
    "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": "708-603-5980",
            "fax_number": "708-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 W. COLLEGE DRIVE STE. 102",
            "address_2": "PREMIERE GENERAL MEDICINE SC",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631180",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERE GENERAL MEDICINE S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "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": "036085309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas Rizzo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • 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.
  • 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.