NPI Code Details Logo

NPI 1750396461

NPI 1750396461 : OSF HEALTHCARE SYSTEM : PEORIA, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750396461
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OSF HEALTHCARE SYSTEM 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/30/2006
-----------------------------------------------------
    Last Update Date     |    12/08/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2265 W ALTORFER DR 
-----------------------------------------------------
    City                 |    PEORIA
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    61615-1807
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    309-683-7700
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    124 SW ADAMS ST 
-----------------------------------------------------
    City                 |    PEORIA
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    61602-1308
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    309-655-2850
-----------------------------------------------------
    Fax                  |    309-624-2863
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF FINANCIAL OFFICER
-----------------------------------------------------
    Name                 |     KIRSTEN MARIE LARGENT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    309-308-5255
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336H0001X
-----------------------------------------------------
    Taxonomy Name        |    Home Infusion Therapy Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.