Elite Medical Group
NPI #1356560999 in Bloomington, Illinois
Provider Information
- NPI Number
- 1356560999
- Entity Type
- Organization
- Organization Name
- Elite Medical Group
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3002 GILL ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-3438
- Phone
- (309) 663-4443
Authorized Official
- Name
- CRAIG MATHIESON
- Title
- PARTNER
- Phone
- (309) 663-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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