Provider Type Icon

PREMIER MEDICAL GROUP LLC NPI 1467751156


NPI Information

NPI: 1467751156
Provider Name: PREMIER MEDICAL GROUP, LLC

Doing Business As: MID-CENTRAL ILLINOIS GASTROENTEROLOGY, LTD.

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
2200 JACOBSSEN DR
SUITE B
NORMAL, IL
ZIP 61761
Phone: (309) 451-1123
Get Directions

PREMIER MEDICAL GROUP, LLC is a gastroenterology internal medicine in Normal, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. PREMIER MEDICAL GROUP, LLC NPI is 1467751156. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid-central Illinois Gastroenterology, Ltd..

The provider's business location address is:

2200 JACOBSSEN DR
SUITE B
NORMAL, IL
ZIP 61761-516
Phone: (309) 451-1123
Fax: (309) 451-1212

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

The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/21/2011.


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
1207RG0100XInternal MedicineGastroenterologyILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.