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Organization
PREMIER MEDICAL GROUP, LLC
Active
Organization
PREMIER MEDICAL GROUP, LLC
Active
Other names
Barry Slotky, M.D., SC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HESSE (EXECUTIVE ADMINISTRATOR)
(309) 662-6200
Entity
Organization
Contact information
Practice address
107 N REGENCY DR, BLOOMINGTON, IL 61701-3505
(309) 663-6338
(309) 661-5644
Mailing address
107 N REGENCY DR, BLOOMINGTON, IL 61701-3505
(309) 663-6338
(309) 661-5644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36-047218
IL
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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