Premier Medical Group, LLC
Premier Medical Group, LLC provides Surgery Physician services in Normal, 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
1537 Fort Jesse Rd Ste ANormal, IL 61761-6192 Not confirmed with CMS for 15 years — call before visiting
Phone: (309) 808-0122
Fax: (309) 808-0522
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
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 36-068927 (IL) |
|---|
Record details
| NPI number | 1720377690 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Hesse — Executive Administrator · (309) 662-6200 |
| Other names | Katherine Widerborg, M.D. |
| NPI enumerated | March 31, 2011 |
| Last updated in NPPES | March 31, 2011 |
| Mailing address | 1537 Fort Jesse Rd, Suite A, Normal, IL 61761-6192 |
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Gerardo A. Grieco, MD, SC
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Gerardo A Grieco, MD
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Travis Holt, MD
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Dr. David H Naour, MD
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Eric E Robinson, MD
1300 Franklin Ave Ste 210, Normal, IL 61761-3592 · (309) 452-1193
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Katherine Anne Widerborg, MD
1537 Fort Jesse Rd Ste A, Normal, IL 61761 · (309) 808-0122