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PREMIER MEDICAL GROUP LLC NPI 1487943593


NPI Information

NPI: 1487943593
Provider Name: PREMIER MEDICAL GROUP, LLC

Doing Business As: CENTER FOR COSMETIC AND LASER SURGERY, LLC

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
1505 EASTLAND DR
SUITE 350
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-1222
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PREMIER MEDICAL GROUP, LLC is a plastic surgery in Bloomington, IL. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PREMIER MEDICAL GROUP, LLC NPI is 1487943593. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Cosmetic And Laser Surgery, Llc.

The provider's business location address is:

1505 EASTLAND DR
SUITE 350
BLOOMINGTON, IL
ZIP 61701-534
Phone: (309) 663-1222
Fax: (309) 663-0580

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 3/30/2011 and was last updated on 3/30/2011.


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
1208200000XPlastic Surgery36-084126ILLINOISYes

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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