MEDICARE: PREMIER INTERNAL MEDICINE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036092117	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689651184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER INTERNAL MEDICINE LLC

Provider Business Mailing Address
First Line	:	1347 ARBOR BLUFF CIR
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63021-3701
Country	:	US
Telephone Number	:	618-476-9399
Fax Number	:	618-476-9547

Provider Business Practice Location Address
First Line	:	4500 MEMORIAL DR
Second Line	:
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5360
Country	:	US
Telephone Number	:	618-476-9399
Fax Number	:	618-476-9547

Authorized Official
Title or Position	:	MD
Name	:	SYED K HUSSAIN
Credential	:	MD
Telephone Number	:	314-304-1769

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	10/02/2008

Similar Medicare Providers

1861749780 — DR. KENECHUKWU OLUFEMI CHUDY-ONWUGAJE M.D.
Practice Location Address:

4500 MEMORIAL DR
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-6220
Practice Fax:

1326045568 — KENNETH I BLUESTONE M.D.
Practice Location Address:

4500 MEMORIAL DR
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-4376
Practice Fax: 618-257-5196

1598757031 — DR. DAVID JEFFREY EISENSTEIN MD
Practice Location Address:

4500 MEMORIAL DR , DEPT PATHOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-233-7750
Practice Fax: 314-747-1710

1245202068 — DR. AMIRA MARY BAHU MD
Practice Location Address:

4500 MEMORIAL DR , DEPT RADIOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-5613
Practice Fax: 314-454-4641

1861440661 — DR. GUILLERMO RODRIGUEZ JR. MD
Practice Location Address:

4500 MEMORIAL DR , DIV MEDICAL ONCOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 800-647-2098
Practice Fax: 314-362-3192

1780638932 — BRIAN L MCELANEY MD
Practice Location Address:

4500 MEMORIAL DR , DEPT RADIOLOGY
BELLEVILLE, IL
62226-5360

Practice Phone: 618-257-9567
Practice Fax:

Directions to “PREMIER INTERNAL MEDICINE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.