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General NPI Number Information
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NPI Number | 1508683590
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Entity Type | Organization
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Legal Business Name | OSF HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 09/23/2024
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 403 E 1ST ST
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City | DIXON
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State | IL
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Zip | 61021-3116
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Country | US
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Telephone | 815-288-5531
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Fax |
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Provider Business Mailing Address
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Address Line | 124 SW ADAMS ST
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City | PEORIA
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State | IL
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Zip | 61602-1308
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Country | US
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Telephone | 309-655-2850
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Fax | 309-655-4878
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KIRSTEN M LARGENT
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Credential |
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Telephone | 309-308-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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