This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / IL
NURSE PRACTITIONER
Graduated: 2015
NPI: 1033580873
PREMISE HEALTH OF ILLINOIS MEDICAL PC
5100 LAKE TER NE
MOUNT VERNON, IL 628649665
6188995001
Source: CMS National Downloadable File, September 2026.