MEDICARE: OSF HEALTHCARE SYSTEM

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center
3	261QU0200X	Urgent Care Clinic/Center
4	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215572045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OSF HEALTHCARE SYSTEM

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	:

Provider Business Practice Location Address
First Line	:	2800 W 95TH ST
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2701
Country	:	US
Telephone Number	:	708-422-6200
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	KIRSTEN MARIE LARGENT
Credential	:
Telephone Number	:	309-308-5255

Provider Enumeration Date	:	11/15/2019
Last Update Date	:	04/10/2026

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Directions to “OSF HEALTHCARE SYSTEM ” Practice Location

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