Premier Medical Group, LLC

NPI #1487943593 in Bloomington, Illinois

Provider Information

NPI Number: 1487943593
Entity Type: Organization
Organization Name: Premier Medical Group, LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Mar 30, 2011
Last Updated: Mar 30, 2011

Practice Location

Address: 1505 EASTLAND DR
Address 2: SUITE 350
City: Bloomington
State: Illinois
ZIP Code: 61701-3534
Phone: (309) 663-1222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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