Premier Medical Group, LLC
NPI #1891084653 in Bloomington, Illinois
Provider Information
- NPI Number
- 1891084653
- Entity Type
- Organization
- Organization Name
- Premier Medical Group, LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 1, 2011
- Last Updated
- Apr 1, 2011
Practice Location
- Address
- 107 N REGENCY DR
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3505
- Phone
- (309) 663-6338
Authorized Official
- Name
- MR. JOHN HESSE
- Title
- EXECUTIVE ADMINISTRATOR
- Phone
- (309) 662-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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