NPI 1003406000

Premier Primary Care and Alternative Medicine

Organisation Internal Medicine Physician Chicago, IL

Practice location

Address: 1301 E 47th Street Bldg 2 Suite B, Chicago, IL 60653
Phone: (773) 891-2890
Fax: (773) 891-4107

Authorised official

Name: Reuben C Rutland
Title: Chief Operation Officer
Phone: (574) 276-7184

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Illinois →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Illinois →

Registry record

NPI: 1003406000
Entity type: Organization
NPI issued: 22 Jan 2021
Record last updated: 28 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.