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PREMIER MEDICAL GROUP LLC NPI 1891084653


NPI Information

NPI: 1891084653
Provider Name: PREMIER MEDICAL GROUP, LLC

Doing Business As: BARRY SLOTKY, M.D., SC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
107 N REGENCY DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 663-6338
Get Directions

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 1891084653. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Barry Slotky, M.d., Sc.

The provider's business location address is:

107 N REGENCY DR
BLOOMINGTON, IL
ZIP 61701-505
Phone: (309) 663-6338
Fax: (309) 661-5644

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 4/1/2011 and was last updated on 4/1/2011.


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 & Gynecology36-047218ILLINOISYes

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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