Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Premier Medical Group, LLC

Organization Family Medicine Physician · NPI 1942501978

Premier Medical Group, LLC is a Family Medicine Physician in Bloomington, Illinois. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1401 Eastland Dr Ste B
Bloomington, IL 61701-3553
Phone: (309) 451-1123
Fax: (309) 451-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Plastic Surgery Physician Taxonomy 208200000X
Urology Physician Taxonomy 208800000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1942501978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phil McGowan — Administrator · (309) 451-1123
NPI enumeratedNovember 8, 2010
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address1401 Eastland Dr Ste B, Bloomington, IL 61701-3553

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