Premier Medical Group, LLC
NPI 1487943593ActiveOrganization· Plastic Surgery· Bloomington, IL
Plastic Surgery in Bloomington, Illinois, registered in NPPES in March 2011. The authorized official on file is John Hesse, Executive Administrator.
Overview
| NPI | 1487943593 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2011 |
| Last updated in NPPES | Mar 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | 36-084126 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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