Organization
PREMIER MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL ARTHUR MCGOWAN (ADMINISTRATOR)
(309) 451-1123
Entity
Organization
Contact information
Practice address
1401 EASTLAND DR STE B, BLOOMINGTON, IL 61701-3553
(309) 451-1123
(309) 451-1212
Mailing address
1401 EASTLAND DR STE B, BLOOMINGTON, IL 61701-3553
(309) 451-1123
(309) 451-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/08/2010
Last updated
12/08/2023
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