Premier Medical Group, LLC
NPI #1992004683 in Bloomington, Illinois
Provider Information
- NPI Number
- 1992004683
- Entity Type
- Organization
- Organization Name
- Premier Medical Group, LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Mar 21, 2011
- Last Updated
- Mar 21, 2011
Practice Location
- Address
- 1505 EASTLAND DR
- Address 2
- SUITE 2300
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3534
- Phone
- (309) 662-9022
Authorized Official
- Name
- MR. JOHN HESSE
- Title
- EXECUTIVE ADMINISTRATOR
- Phone
- (309) 662-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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