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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