Provider Demographics
NPI:1225030794
Name:PREMIER HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:PREMIER HEALTH SERVICES, INC.
Other - Org Name:MRI OF ARLINGTON HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-215-7410
Mailing Address - Street 1:2100 GOLF RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4274
Mailing Address - Country:US
Mailing Address - Phone:847-228-0834
Mailing Address - Fax:847-228-0864
Practice Address - Street 1:2100 GOLF RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4274
Practice Address - Country:US
Practice Address - Phone:847-228-0834
Practice Address - Fax:847-228-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-13
Last Update Date:2017-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
No293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036042750-3Medicaid
IL574920Medicare ID - Type Unspecified