Provider Demographics
NPI:1356499966
Name:PREMIER AMERICAN HISPANIC MEDICAL SERVICES SC
Entity Type:Organization
Organization Name:PREMIER AMERICAN HISPANIC MEDICAL SERVICES SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SFEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-242-6443
Mailing Address - Street 1:143 S LINCOLN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60505-4263
Mailing Address - Country:US
Mailing Address - Phone:630-242-6443
Mailing Address - Fax:
Practice Address - Street 1:143 S LINCOLN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60505-4263
Practice Address - Country:US
Practice Address - Phone:630-242-6443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036068817207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty