1750116513 NPI number — PREMIER INJURY CARE AT SILVER CROSS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750116513 NPI number — PREMIER INJURY CARE AT SILVER CROSS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER INJURY CARE AT SILVER CROSS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750116513
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1900 SILVER CROSS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW LENOX
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60451-9509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-300-7106
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1851 SILVER CROSS BLVD STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW LENOX
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60451-9599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-300-3060
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2024

Additional Information

Authorized Official

Authorized Official Last Name:
OWENS
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, FINANCE
Authorized Official Telephone Number:
815-300-7106

Provider Taxonomy Codes

  • Taxonomy code: 261QX0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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