Premier Medical Group, LLC

NPI #1184913881 in Normal, Illinois

Provider Information

NPI Number: 1184913881
Entity Type: Organization
Organization Name: Premier Medical Group, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Apr 4, 2011
Last Updated: Apr 4, 2011

Practice Location

Address: 1300 FRANKLIN AVE
Address 2: SUITE 360
City: Normal
State: Illinois
ZIP Code: 61761-3592
Phone: (309) 808-0940

Authorized Official

Name: MR. JOHN HESSE
Title: EXECUTIVE ADMINISTRATOR
Phone: (309) 662-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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