<Unavail>

LBN: Premier Medical Group, Llc
<Unavail> is an health care organization with primary practice located at 1505 Eastland Dr Suite 2300, Bloomington IL 61701-3534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Premier Medical Group, Llc can be contacted via phone (309) 662-9022, or through Hesse, John via phone (309) 662-6200.

Contact Information

Primary practice address
1505 Eastland Dr Suite 2300 Bloomington IL 61701-3534
Phone: (309) 662-9022
Fax: (309) 662-2091
Website:
Map and Directions
Authorized official contact:
Name: Hesse, John
Phone: (309) 662-6200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Illinois

Profile Details

NPI number 1992004683
LBN Legal business name Premier Medical Group, Llc
DBA Doing business as <Unavail>
Authorized official Hesse, John
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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