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MID-CENTRAL ILLINOIS GASTROENTEROLOGY, LTD.
NPI 1467751156
Internal Medicine - Gastroenterology in Normal, IL

Active since March 21, 2011CLIA 14D2112072 · Waiver
2200 JACOBSSEN DR, SUITE B, NORMAL, IL 61761(309) 451-1123(309) 451-1212 Get Directions Write a Review

NPPES record last updated: March 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid-central Illinois Gastroenterology, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-CENTRAL ILLINOIS GASTROENTEROLOGY, LTD. (NPI 1467751156) is a healthcare organization registered as a gastroenterology in Normal, Illinois and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists John Hesse, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1467751156
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NamePREMIER MEDICAL GROUP, LLC
Location Address2200 JACOBSSEN DR, SUITE BNormal, IL 61761-5516
Mailing Address2200 Jacobssen Dr, Suite BNormal, IL 61761-5516 · (309) 451-1123 · Fax (309) 451-1212
Phone(309) 451-1123
Fax(309) 451-1212
Organization SubpartNo
Authorized OfficialJohn HesseExecutive Administrator · (309) 662-6200
Enumeration DateMarch 21, 2011
✔ NPI 1467751156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2200 JACOBSSEN DR, Normal, IL 61761
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Other Names 1

Doing Business AsMid-central Illinois Gastroenterology, Ltd.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2112072

Mid-Central Illinois Gastroenterology, Ltd · Normal, IL
Active · expires Apr 20, 2028
CLIA Number14D2112072
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorStephen Matter
Laboratory Phone(309) 451-1123
Laboratory LocationMid-Central Illinois Gastroenterology, Ltd2200 Jacobson Drive Suite B, Normal, IL 61761
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN S MATTER M.D.
Internal Medicine (Gastroenterology)
2200 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 451-1123
MID-CENTRAL ILL GASTRO
Internal Medicine (Gastroenterology)
2200 JACOBSSEN DR, SUITE B
NORMAL, IL 61761
McLean County (309) 451-1123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Medical Group, LLC's NPI number?

The NPI number for Premier Medical Group, LLC is 1467751156. It was assigned to this organization in the NPPES registry on March 21, 2011. The provider is doing business as Mid-Central Illinois Gastroenterology, Ltd..

Where is Premier Medical Group, LLC located?

Premier Medical Group, LLC is located at 2200 Jacobssen Dr Suite B, Normal, IL 61761. The listed phone number is (309) 451-1123.

What is Premier Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Premier Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2112072) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Medical Group, LLC was last updated on March 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.