Premier Suburban Medical Group, PLLC
NPI 1902412950 · Multi-Specialty Clinic/Center · Orland Park, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Suburban Medical Group, PLLC is a Multi-Specialty Clinic/Center organization in Orland Park, IL (NPI 1902412950).
Provider details
- NPI number
- 1902412950
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Owens, Director, Finance(815) 300-7764
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1900 Silver Cross BlvdNew Lenox, IL 60451-9509Phone: (815) 300-7106
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2024-05-31
- Certified
- 2024-05-24
Frequently asked questions
- What is Premier Suburban Medical Group, PLLC's NPI number?
- Premier Suburban Medical Group, PLLC's National Provider Identifier (NPI) is 1902412950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Suburban Medical Group, PLLC?
- Premier Suburban Medical Group, PLLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premier Suburban Medical Group, PLLC located?
- Premier Suburban Medical Group, PLLC's practice location on file with NPPES is 17047 La Grange Rd., Orland Park, IL 60487-1913.
- What is Premier Suburban Medical Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Suburban Medical Group, PLLC is (815) 300-7664.
- Does Premier Suburban Medical Group, PLLC accept Medicare?
- Premier Suburban Medical Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Suburban Medical Group, PLLC?
- The authorized official listed on Premier Suburban Medical Group, PLLC's NPPES record is Amy Owens, Director, Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Suburban Medical Group, PLLC's NPI active?
- Yes — Premier Suburban Medical Group, PLLC's NPI (1902412950) is active in the NPPES registry as of the last update on 2024-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.