Premier Medical Group, LLC
NPI #1427357227 in Bloomington, Illinois
Provider Information
- NPI Number
- 1427357227
- Entity Type
- Organization
- Organization Name
- Premier Medical Group, LLC
- Primary Specialty
- Urology
- Enumeration Date
- Mar 18, 2011
- Last Updated
- Mar 18, 2011
Practice Location
- Address
- 1401 EASTLAND DR STE B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3514
- Phone
- (309) 663-9424
Authorized Official
- Name
- JOHN HESSE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (309) 662-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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