| Entity Name: | PRIORITY HEALTH FAMILY MEDICINE, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 27 Jun 2013 |
| Company Number: | LLC_04396316 |
| File Number: | 04396316 |
| Type of Management: | Member Managed |
| Date Status Change: | 15 May 2024 |
| Address | 5160 HICKORY POINT, DECATUR, 62526, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| JOHN E SANNER, 225 N WATER ST #301, DECATUR, 62523 | Agent | 2013-06-27 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| MILLER MD, TIMOTHY A, 1444 WELDON SPRINGS RD, MAROA, IL, 61756 | Manager | 2024-05-15 |
| NEWCOME MD, KRISTIN K, 3717 N ASHLEY CT, DECATUR, IL, 62526 | Manager | 2024-05-15 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248000913 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2013-12-09 | 2017-02-21 | 2018-01-01 |
Date of last update: 13 Jan 2025
