| Osf Medical Group - College Avenue | |
|
1701 E College Ave Bloomington IL 61704-2101 | |
| (309) 664-3280 | |
| Not Available |
| Full Name | Osf Medical Group - College Avenue |
|---|---|
| Speciality | Internal Medicine |
| Location | 1701 E College Ave, Bloomington, Illinois |
| Authorized Official Name and Position | James M Moore (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Medical Group - College Avenue 800 Ne Glen Oak Ave Peoria IL 61603-3255 Ph: () - | Osf Medical Group - College Avenue 1701 E College Ave Bloomington IL 61704-2101 Ph: (309) 664-3280 |
| NPI Number | 1487881058 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487881058 | NPI | - | NPPES |
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