HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C (NPI# 1235584475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235584475 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C |
| Other Organization Name | PREMISE HEALTH CLINIC |
| Practice Address |
Terminal 3, K19 Concourse, Ramp Level Rm 100 Touhy & Mt Prospect Rd Chicago IL 60666 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 7736863912 |
| Practice Fax Number | 7736864662 |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DR. STEVEN A HINITT (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premise Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| 1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
| 1477881845 | Healthworks Medical Group of Illinois S C | Clinic/Center | 300 E Randolph St # Cl404, Chicago, IL 60601-5099 | 2009-11-24 |
| 1205300159 | Healthworks Medical Group of Illinois S C | Clinic/Center | 108 W Main St, Mt Sterling, IL 62353-1224 | 2019-01-14 |
| 1073025235 | Healthworks Medical Group of Illinois S C | Clinic/Center | 4979 Indiana Ave Ste 312, Lisle, IL 60532 | 2017-10-27 |
| 1083006001 | Healthworks Medical Group of Illinois S C | Clinic/Center | 6150 Joliet Rd, Countryside, IL 60525-3956 | 2015-02-27 |
| 1770999872 | Healthworks Medical Group of Illinois S C | Clinic/Center | 2801 S Springfield Ave, Rockford, IL 61102-4205 | 2014-07-09 |
| 1588940019 | Healthworks Medical Group of Illinois S C | General Practice | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2011-10-28 |
| 1033494976 | Healthworks Medical Group of Illinois S C | Clinic/Center | 108 Wilmot Rd, Deerfield, IL 60015-5145 | 2011-10-11 |
| Street Address |
TERMINAL 3, K19 CONCOURSE, RAMP LEVEL RM 100 TOUHY & MT PROSPECT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346782588 | Brandon Marsh | Specialist/Technologist | Ohare Cargo Area Rd, Chicago, IL 60666 | 2016-11-04 |
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1861870503 | Mcdermott Center | Substance Abuse Rehabilitation Facility | 10000 West Ohare Avenue, O'hare International Airport, Chicago, IL 60666 | 2015-05-14 |
| 1295921500 | O'hare Dental Group | Dentist | O'hare International Airport, Hilton Arcade Level, Chicago, IL 60666 | 2007-09-20 |
| 1528184629 | Mary C. Ranieli | Dentist | 11601 West Touhy Avenue, O'hare International Airport-hilton Arcade Level, Chicago, IL 60666 | 2007-03-21 |
| 1871606350 | Joye L Holmes | Preventive Medicine | O'hare Airport,,touhy and Mt Prospect Road, Gem Building, First Floor, Chicago, IL 60666 | 2006-08-17 |
| 1407342223 | Clariza Saint George | Counselor | 10000 W O'hare Ave, Terminal 2, Chicago, IL 60666-0019 | 2018-07-04 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1780285429 | Lily Heine | Speech-Language Pathologist | 1425 W Albion Ave Apt 3, Chicago, IL 60626-5022 | 2020-11-07 |
| 1295336022 | Web Healing Collective Pllc | Social Worker | 6207 N Springfield Ave, Chicago, IL 60659-1015 | 2020-11-06 |
| 1609477579 | Shantrell Patrice Sutton | Counselor | 5042 W Erie St, Chicago, IL 60644-1604 | 2020-11-05 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1730780602 | Saba Aqel | Counselor | 107 W Van Buren St Ste 215, Chicago, IL 60605-1054 | 2020-11-05 |
| 1558962720 | Christine Nance | Registered Nurse | 125 W 109th St, Chicago, IL 60628-3432 | 2020-11-04 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| Find all providers in CHICAGO | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| 1861964959 | Midway Medical | Clinic/Center | 2 W 103rd St, Chicago, IL 60628-2619 | 2018-12-30 |
| 1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
| 1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
| 1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
| 1851560866 | Stepping Stones Pediatric Therapy, LLC | Clinic/Center | 2645 N Southport Ave # 2, Chicago, IL 60614-1227 | 2008-02-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.