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NPI Code Detail

MEDICARE: OSF MULTI-SPECIALTY GROUP

MEDICARE: OSF MULTI-SPECIALTY GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332900000XNon-Pharmacy Dispensing Site

General Provider Information

NPI Number : 1649864273
Entity Type Code : Organization
Provider Name (Legal Business Name) : OSF MULTI-SPECIALTY GROUP
Provider Business Mailing Address
First Line : 124 SW ADAMS ST
Second Line :
City : PEORIA
State : IL
Zip : 61602-1308
Country : US
Telephone Number : 309-655-2850
Fax Number : 309-655-4878
Provider Business Practice Location Address
First Line : 841 BROADMEADOW RD
Second Line :
City : RANTOUL
State : IL
Zip : 61866-2119
Country : US
Telephone Number : 217-282-3010
Fax Number : 217-282-3011
Authorized Official
Title or Position : CEO
Name : ROBERT C SEHRING
Credential :
Telephone Number : 309-655-2850
Provider Enumeration Date : 02/24/2021
Last Update Date : 03/07/2024

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Directions to “OSF MULTI-SPECIALTY GROUP ” Practice Location

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