| OSF Multi-specialty Group | |
|
5668 E State St Rockford IL 61108-2490 | |
| (815) 229-7580 | |
| Not Available |
| Full Name | OSF Multi-specialty Group |
|---|---|
| Speciality | Health Educator |
| Location | 5668 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Kirsten Marie Largent (CFO) |
| Authorized Official Contact | 3093085255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| OSF Multi-specialty Group 124 Sw Adams St Fl 2 Peoria IL 61602-1308 Ph: (309) 655-2850 | OSF Multi-specialty Group 5668 E State St Rockford IL 61108-2490 Ph: (815) 229-7580 |
| NPI Number | 1386538775 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386538775 | NPI | - | NPPES |
| 000 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 174H00000X | Health Educator | () | Primary |
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