Organization
PREMIER MEDICAL GROUP, LLC
Active
Other names
Susan Svientek, 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
1300 FRANKLIN AVE, SUITE 270, NORMAL, IL 61761-3592
(309) 888-9900
(309) 888-9919
Mailing address
1300 FRANKLIN AVE, SUITE 270, NORMAL, IL 61761-3592
(309) 888-9900
(309) 888-9919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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