Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premier Wellcare, Inc

Organization Physician Assistant · NPI 1639437684

Premier Wellcare, Inc is a Physician Assistant in Park Ridge, Illinois. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 W Higgins Rd
Park Ridge, IL 60068
Phone: (312) 898-5064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639437684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Vasich — Wellness Program Manager · (312) 898-5064
NPI enumeratedApril 27, 2012
Last updated in NPPESMay 22, 2012
Mailing address115 S La Salle St, Suite 2600, Chicago, IL 60603-3801

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