Organization
PREMIER MEDICAL GROUP, LLC
Active
Other names
Katherine Widerborg, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HESSE (EXECUTIVE ADMINISTRATOR)
(309) 662-6200
Entity
Organization
Contact information
Practice address
1537 FORT JESSE RD, SUITE A, NORMAL, IL 61761-6192
(309) 808-0122
(309) 808-0522
Mailing address
1537 FORT JESSE RD, SUITE A, NORMAL, IL 61761-6192
(309) 808-0122
(309) 808-0522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36-068927
IL
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us