| Osf Holy Family Clinics | |
|
1000 W Harlem Ave Monmouth IL 61462-1007 | |
| (309) 734-3141 | |
| Not Available |
| Full Name | Osf Holy Family Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W Harlem Ave, Monmouth, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Holy Family Clinics 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Holy Family Clinics 1000 W Harlem Ave Monmouth IL 61462-1007 Ph: (309) 734-3141 |
| NPI Number | 1679606073 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4284541806 |
|---|---|
| Medicare Enrollment ID | O20070503000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679606073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Earl J Wipfler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639284995 PECOS PAC ID: 3971595661 Enrollment ID: I20040401001081 |
| Provider Name | Mark A Meeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225139058 PECOS PAC ID: 8123013604 Enrollment ID: I20040421000528 |
| Provider Name | Rose Marie Haisler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487642419 PECOS PAC ID: 9638167356 Enrollment ID: I20040503000851 |
| Provider Name | Venkata Jampala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235138579 PECOS PAC ID: 2769458355 Enrollment ID: I20040903001243 |
| Provider Name | Anna M Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447437702 PECOS PAC ID: 8123094174 Enrollment ID: I20040909001190 |
| Provider Name | Frank J Peppers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821097395 PECOS PAC ID: 6305814427 Enrollment ID: I20040917000039 |
| Provider Name | John W Hafner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255360715 PECOS PAC ID: 8325075146 Enrollment ID: I20050725000129 |
| Provider Name | Travis William Swink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619060977 PECOS PAC ID: 2769420231 Enrollment ID: I20050725000505 |
| Provider Name | Brad A Stoecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508887860 PECOS PAC ID: 1153325352 Enrollment ID: I20060830000470 |
| Provider Name | Rushdi H Alul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649365529 PECOS PAC ID: 6608876917 Enrollment ID: I20070111000140 |
| Provider Name | Janet L Collopy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699855007 PECOS PAC ID: 9032215793 Enrollment ID: I20070426000446 |
| Provider Name | James R Battenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851387443 PECOS PAC ID: 8123034584 Enrollment ID: I20070613000770 |
| Provider Name | Stuart G Hickerson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073629374 PECOS PAC ID: 3476645607 Enrollment ID: I20070817000373 |
| Provider Name | Darrell D Rust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811960933 PECOS PAC ID: 8921912114 Enrollment ID: I20080201000077 |
| Provider Name | Sajjad A. Rattansi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821202524 PECOS PAC ID: 5193898393 Enrollment ID: I20080722000166 |
| Provider Name | Kari N Bruening |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063675445 PECOS PAC ID: 3375619570 Enrollment ID: I20080912000343 |
| Provider Name | Joseph J Krug |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669588869 PECOS PAC ID: 9032104427 Enrollment ID: I20081206000195 |
| Provider Name | Paul Bonucci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922114677 PECOS PAC ID: 8426006966 Enrollment ID: I20090129000412 |
| Provider Name | Nayantara A Jnananand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013128925 PECOS PAC ID: 0648316521 Enrollment ID: I20091007000017 |
| Provider Name | Valerie A Flacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255430120 PECOS PAC ID: 7810096781 Enrollment ID: I20100201000370 |
| Provider Name | Jennifer L Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982933974 PECOS PAC ID: 6800911454 Enrollment ID: I20100920000410 |
| Provider Name | Kurt E Volz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265659007 PECOS PAC ID: 3779776257 Enrollment ID: I20101015000815 |
| Provider Name | Alan C Rakoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801873328 PECOS PAC ID: 9537266085 Enrollment ID: I20101207000606 |
| Provider Name | Rahul R Sampat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790937092 PECOS PAC ID: 4981886983 Enrollment ID: I20110312000081 |
| Provider Name | Mustafa Hindi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225273915 PECOS PAC ID: 3476721705 Enrollment ID: I20110712000573 |
| Provider Name | Jeremy R Carrier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871753921 PECOS PAC ID: 5496929473 Enrollment ID: I20111201000472 |
| Provider Name | Annevay D Conlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053540237 PECOS PAC ID: 9537318753 Enrollment ID: I20121003000887 |
| Provider Name | Henry Lawrence A Dumbab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841495785 PECOS PAC ID: 5294984969 Enrollment ID: I20121012000754 |
| Provider Name | Kaleena D Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679919542 PECOS PAC ID: 9133366735 Enrollment ID: I20130517000345 |
| Provider Name | Sheila R Feaster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972739548 PECOS PAC ID: 2264660125 Enrollment ID: I20140122001953 |
| Provider Name | Matthew J Weidman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134226145 PECOS PAC ID: 1850515230 Enrollment ID: I20140605001533 |
| Provider Name | Anthony J Buecker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043504368 PECOS PAC ID: 0648491118 Enrollment ID: I20141027000586 |
| Provider Name | Robin Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746701 PECOS PAC ID: 5991010258 Enrollment ID: I20150814013714 |
| Provider Name | Alicia L Meinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245606276 PECOS PAC ID: 0648586859 Enrollment ID: I20150902003304 |
| Provider Name | Jeremiah F Bushmaker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114133014 PECOS PAC ID: 2466524293 Enrollment ID: I20151215001169 |
| Provider Name | Mara L Bessine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508219361 PECOS PAC ID: 9335433721 Enrollment ID: I20160808002069 |
| Provider Name | Nancy Nelson-beliveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972058063 PECOS PAC ID: 4688960404 Enrollment ID: I20160902001972 |
| Provider Name | Christopher T Blanford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306286950 PECOS PAC ID: 4587898101 Enrollment ID: I20161017000523 |
| Provider Name | Natalie J Ince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114467636 PECOS PAC ID: 2860777075 Enrollment ID: I20170329002524 |
| Provider Name | Suzanne M Beitzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144307810 PECOS PAC ID: 5496840761 Enrollment ID: I20170627003066 |
| Provider Name | Hannah K Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760909626 PECOS PAC ID: 9032484381 Enrollment ID: I20171012001200 |
| Provider Name | Alivia R Derham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386142503 PECOS PAC ID: 0840550695 Enrollment ID: I20180216000026 |
| Provider Name | Joy L Meachum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053801191 PECOS PAC ID: 4688920804 Enrollment ID: I20180702000787 |
| Provider Name | Andrew Joseph Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952783698 PECOS PAC ID: 4981916509 Enrollment ID: I20180726000254 |
| Provider Name | Rachel B Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275099160 PECOS PAC ID: 4183965916 Enrollment ID: I20190404001623 |
| Provider Name | Carrie Anne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285193441 PECOS PAC ID: 1153662333 Enrollment ID: I20190417000435 |
| Provider Name | Angela M Longeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548735988 PECOS PAC ID: 8527391697 Enrollment ID: I20190604001693 |
| Provider Name | Amy L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619435252 PECOS PAC ID: 8224362017 Enrollment ID: I20190627002711 |
| Provider Name | Abby R Vladika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184194813 PECOS PAC ID: 7416286117 Enrollment ID: I20190905001588 |
| Provider Name | Shitaldas J Pamnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750739900 PECOS PAC ID: 9234416009 Enrollment ID: I20190911002838 |
| Provider Name | Ariel E Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093379802 PECOS PAC ID: 0143551275 Enrollment ID: I20191003002947 |
| Provider Name | Tonya R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205482254 PECOS PAC ID: 6406187228 Enrollment ID: I20191009001783 |
| Provider Name | Keith J Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255844189 PECOS PAC ID: 9133552466 Enrollment ID: I20191127001370 |
| Provider Name | Cory J Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770002677 PECOS PAC ID: 6204261514 Enrollment ID: I20200115000013 |
| Provider Name | Ellen Michelle Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538708086 PECOS PAC ID: 1759717176 Enrollment ID: I20200204000265 |
| Provider Name | Ann K Church |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295700912 PECOS PAC ID: 2264465830 Enrollment ID: I20200320002016 |
| Provider Name | Rebekka J Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366077695 PECOS PAC ID: 0840629390 Enrollment ID: I20200403000878 |
| Provider Name | Susan J Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491663 PECOS PAC ID: 8527472661 Enrollment ID: I20210201000392 |
| Provider Name | Kheder Basheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932624418 PECOS PAC ID: 6901214121 Enrollment ID: I20210427002752 |
| Provider Name | Ahlyssa Pinter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346818655 PECOS PAC ID: 5597167494 Enrollment ID: I20210715000461 |
| Provider Name | Jennifer Brooke Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923172 PECOS PAC ID: 8426456484 Enrollment ID: I20211006001695 |
| Provider Name | Candace R Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053087767 PECOS PAC ID: 9537567391 Enrollment ID: I20211007003068 |
| Provider Name | Alyssa Marie Smolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699343400 PECOS PAC ID: 4183012305 Enrollment ID: I20211020002610 |
| Provider Name | Heidi R Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497415152 PECOS PAC ID: 9133511306 Enrollment ID: I20220120000624 |
| Provider Name | Laura S Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003834888 PECOS PAC ID: 0446143812 Enrollment ID: I20220314002007 |
| Provider Name | Brooke A Yucus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619617602 PECOS PAC ID: 5092198150 Enrollment ID: I20220825002652 |
| Provider Name | Christy Lynn Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437884657 PECOS PAC ID: 9830574714 Enrollment ID: I20220913001748 |
| Provider Name | Jennifer M Comerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346905197 PECOS PAC ID: 0749656718 Enrollment ID: I20221017000128 |
| Provider Name | Robin L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740903012 PECOS PAC ID: 4688043086 Enrollment ID: I20221207000316 |
| Provider Name | Melissa E Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043943830 PECOS PAC ID: 1254703887 Enrollment ID: I20230208002099 |
| Provider Name | Amy Gail Corsolini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992407738 PECOS PAC ID: 9638538093 Enrollment ID: I20230703000184 |
| Provider Name | Kellie M Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588164610 PECOS PAC ID: 8426455528 Enrollment ID: I20230712000115 |
| Provider Name | Bridget A Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427741933 PECOS PAC ID: 6901266659 Enrollment ID: I20230713001900 |
| Provider Name | Amro Mohamed Elsharoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801410592 PECOS PAC ID: 4981020526 Enrollment ID: I20231004000979 |
| Provider Name | Kathryn Elizabeth Ringberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356117444 PECOS PAC ID: 4486006541 Enrollment ID: I20240115000900 |
Cmc Clinics Group Medicare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-1414 Fax: 309-734-3029 | |
Eagle View Community Health System Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 S Main St, Monmouth, IL 61462 Phone: 309-867-2202 | |
Illinois Primary Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 E Broadway Ste B, Monmouth, IL 61462 Phone: 309-337-0736 | |
Western Illinois Home Provider Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Industrial Park Rd, Monmouth, IL 61462 Phone: 309-734-9376 Fax: 309-734-5338 | |
Cmc Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 W Harlem Ave, Monmouth, IL 61462 Phone: 309-734-1414 Fax: 309-734-0323 |