Premier Medical Group, LLC

NPI #1639468788 in Bloomington, Illinois

Provider Information

NPI Number
1639468788
Entity Type
Organization
Organization Name
Premier Medical Group, LLC
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Mar 29, 2011
Last Updated
Mar 29, 2011

Practice Location

Address
1505 EASTLAND DR STE 500
ZIP Code
61701-7905
Phone
(309) 662-2273

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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