Provider Demographics
NPI:1942878129
Name:PREMIER COMMUNICATIONS & MARKETING LLC
Entity Type:Organization
Organization Name:PREMIER COMMUNICATIONS & MARKETING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-933-9564
Mailing Address - Street 1:4627 S LANGLEY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-4612
Mailing Address - Country:US
Mailing Address - Phone:312-933-9564
Mailing Address - Fax:
Practice Address - Street 1:4627 S LANGLEY AVE APT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4612
Practice Address - Country:US
Practice Address - Phone:312-933-9564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle