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PREMIER MEDICAL GROUP LLC NPI 1639468788


NPI Information

NPI: 1639468788
Provider Name: PREMIER MEDICAL GROUP, LLC

Doing Business As: OB/GYN CARE ASSOCIATES, SC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1505 EASTLAND DR STE 500
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-2273
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PREMIER MEDICAL GROUP, LLC is an obstetrics gynecology in Bloomington, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PREMIER MEDICAL GROUP, LLC NPI is 1639468788. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ob/gyn Care Associates, Sc.

The provider's business location address is:

1505 EASTLAND DR STE 500
BLOOMINGTON, IL
ZIP 61701-905
Phone: (309) 662-2273
Fax: (309) 662-2014

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 3/29/2011 and was last updated on 3/29/2011.


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
1207V00000XObstetrics & Gynecology36-101512ILLINOISYes

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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