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PREMIER MEDICAL GROUP LLC NPI 1942501978


NPI Information

NPI: 1942501978
Provider Name: PREMIER MEDICAL GROUP, LLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1401 EASTLAND DR STE B
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 451-1123
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PREMIER MEDICAL GROUP, LLC is a surgery in Bloomington, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PREMIER MEDICAL GROUP, LLC NPI is 1942501978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 EASTLAND DR STE B
BLOOMINGTON, IL
ZIP 61701-553
Phone: (309) 451-1123
Fax: (309) 451-1212

The provider's authorized official is Phil Arthur Mcgowan .
The authorized official title is Administrator and has the following contact phone number (309) 451-1123.

The enumeration date for this NPI number is 11/8/2010 and was last updated on 12/8/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207V00000XObstetrics & GynecologyNo
3207X00000XOrthopaedic SurgeryNo
4208200000XPlastic SurgeryNo
5208800000XUrologyNo
6367500000XNurse Anesthetist, Certified RegisteredNo
7208600000XSurgeryYes

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: 5/5/2024

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