Healthcare Provider Details

I. General information

NPI: 1508710708
Provider Name (Legal Business Name): OSF HEALTHCARE SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 PALMYRA ST
DIXON IL
61021-1953
US

IV. Provider business mailing address

124 SW ADAMS ST
PEORIA IL
61602-1308
US

V. Phone/Fax

Practice location:
  • Phone: 815-284-2020
  • Fax: 815-561-4878
Mailing address:
  • Phone: 309-655-2850
  • Fax: 309-624-2863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: KIRSTEN MARIE LARGENT
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 309-308-5255