| Osf Healthcare - Medical Group (non-rhc Billing) | |
|
9951 Rock Cut Xing Loves Park IL 61111-1999 | |
| (815) 639-8500 | |
| Not Available |
| Full Name | Osf Healthcare - Medical Group (non-rhc Billing) |
|---|---|
| Speciality | Family Medicine |
| Location | 9951 Rock Cut Xing, Loves Park, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO, OSF HEALTHCARE SYSTEM) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Healthcare - Medical Group (non-rhc Billing) 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Healthcare - Medical Group (non-rhc Billing) 9951 Rock Cut Xing Loves Park IL 61111-1999 Ph: (815) 639-8500 |
| NPI Number | 1508567298 |
|---|---|
| Provider Enumeration Date | 03/10/2023 |
| Last Update Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508567298 | NPI | - | NPPES |
| 999 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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