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Organization
PREMIER INTERNAL MEDICINE LLC
Active
Organization
PREMIER INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED K HUSSAIN MD (MD)
(314) 304-1769
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 476-9399
(618) 476-9547
Mailing address
1347 ARBOR BLUFF CIR, BALLWIN, MO 63021-3701
(618) 476-9399
(618) 476-9547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092117
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092117
—
IL
Enumeration date
12/27/2005
Last updated
10/02/2008
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