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NPI Code Detail

MEDICARE: OSF HEALTHCARE SYSTEM

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
1314000000XSkilled Nursing Facility0044024IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150105OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1659362499
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 : 309-655-4878
Provider Business Practice Location Address
First Line : 5533 N GALENA RD
Second Line :
City : PEORIA HEIGHTS
State : IL
Zip : 61616-4447
Country : US
Telephone Number : 309-682-5428
Fax Number : 309-682-8478
Authorized Official
Title or Position : CEO
Name : ROBERT C SEHRING
Credential :
Telephone Number : 309-655-2850
Provider Enumeration Date : 11/01/2005
Last Update Date : 03/18/2024

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