OrganizationActive
Premier Medical Group, LLC
NPI 1497054720 · Podiatrist · Pontiac, IL
Provider details
- NPI number
- 1497054720
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- John Hesse, Executive Administrator(309) 662-6200
- License
- 016-005106 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1512 W Reynolds St Ste a
Pontiac, IL 61764-9788
Phone: (815) 842-6551
Fax: (815) 844-4106
Street-level locationGet directions
Mailing address
1512-A Reynolds
Pontiac, IL 61764-1745
Other names (DBA / former)
- Doing business as
- Scott O'Connor, DPM
Registry dates
- Enumerated
- 2011-03-25
- Last updated
- 2011-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.