MEDICARE: OSF HEALTHCARE SYSTEM

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

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

General Provider Information

NPI Number	:	1356005185
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	:	61602-1320
Country	:	US
Telephone Number	:	309-655-2850
Fax Number	:	309-655-4878

Provider Business Practice Location Address
First Line	:	1505 EASTLAND DR
Second Line	:	STE LL1000
City	:	BLOOMINGTON
State	:	IL
Zip	:	61701-7905
Country	:	US
Telephone Number	:	309-655-3440
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT C SEHRING
Credential	:
Telephone Number	:	309-655-2850

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	03/18/2024

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Directions to “OSF HEALTHCARE SYSTEM ” Practice Location

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