| Osf Healthcare System | |
|
2800 W 95th St Evergreen Park IL 60805-2701 | |
| (708) 422-6300 | |
| Not Available |
| Full Name | Osf Healthcare System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Healthcare System 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Healthcare System 2800 W 95th St Evergreen Park IL 60805-2701 Ph: (708) 422-6300 |
| NPI Number | 1295370039 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295370039 | NPI | - | NPPES |
| 028 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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