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PREMIER MEDICAL GROUP LLC NPI 1427357227


NPI Information

NPI: 1427357227
Provider Name: PREMIER MEDICAL GROUP, LLC

Doing Business As: DRS. KULB, CHALIAN AND LEAK UROLOGY

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 14D0870837

Address:
1401 EASTLAND DR STE B
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-9424
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PREMIER MEDICAL GROUP, LLC is an urology in Bloomington, IL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PREMIER MEDICAL GROUP, LLC NPI is 1427357227. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Drs. Kulb, Chalian And Leak Urology.

The provider's business location address is:

1401 EASTLAND DR STE B
BLOOMINGTON, IL
ZIP 61701-514
Phone: (309) 663-9424
Fax: (309) 663-6350

The provider's authorized official is John Hesse .
The authorized official title is Executive Director and has the following contact phone number (309) 662-6200.

The CLIA number assigned to this NPI record is 14D0870837 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/18/2011 and was last updated on 3/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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