Premier Medical Group, LLC
Premier Medical Group, LLC is a Podiatrist in Pontiac, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1512 W Reynolds St Ste APontiac, IL 61764-9788
Phone: (815) 842-6551
Fax: (815) 844-4106
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 016-005106 (IL) |
|---|
Record details
| NPI number | 1497054720 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Hesse — Executive Administrator · (309) 662-6200 |
| Other names | Scott O'Connor, Dpm |
| NPI enumerated | March 25, 2011 |
| Last updated in NPPES | March 25, 2011 |
| Mailing address | 1512-A Reynolds, Pontiac, IL 61764-1745 |