Organization · Type 2 NPI

Premier Medical Group, LLC

Surgery Physician · Normal, IL

NPI number 1720377690 Active

Practice location

1537 Fort Jesse Rd, Suite A
Normal, IL 61761-6192

Fax (309) 808-0522

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X36-068927 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1720377690

Premier Medical Group, LLC's National Provider Identifier is 1720377690, issued on Mar 31, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Normal, IL. The record was last updated on Mar 31, 2011.