Premier Medical Group, LLC

NPI #1275825432 in Normal, Illinois

Provider Information

NPI Number
1275825432
Entity Type
Organization
Organization Name
Premier Medical Group, LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
May 6, 2011
Last Updated
May 6, 2011

Practice Location

Address
2005 JACOBSSEN DR
Address 2
SUITE A
City
Normal
ZIP Code
61761-6287
Phone
(309) 807-2233

Authorized Official

Name
MRS. JUDY M MATENS
Title
CREDENTIALLING ADMINISTRATOR
Phone
(309) 662-6200

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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