Organization
PREMIER MEDICAL GROUP, LLC
Active
Organization
PREMIER MEDICAL GROUP, LLC
Active
Other names
Digestive Disease Consultants, Ltd.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HESSE (EXECUTIVE ADMINISTRATOR)
(309) 662-6200
Entity
Organization
Contact information
Practice address
1302 FRANKLIN AVE, #4800, NORMAL, IL 61761-3551
(309) 454-5900
Mailing address
1302 FRANKLIN AVE, #4800, NORMAL, IL 61761-3551
(309) 454-5900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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