| OSF Medical Group-kewanee | |
|
1051 W South St Kewanee IL 61443-8354 | |
| (309) 852-7700 | |
| Not Available |
| Full Name | OSF Medical Group-kewanee |
|---|---|
| Speciality | Clinic/Center |
| Location | 1051 W South St, Kewanee, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| OSF Medical Group-kewanee 124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | OSF Medical Group-kewanee 1051 W South St Kewanee IL 61443-8354 Ph: (309) 852-7700 |
| NPI Number | 1083030233 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 4284541806 |
|---|---|
| Medicare Enrollment ID | O20140514001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083030233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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