Organization
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
ILLINOIS LUNG AND CRITICAL CARE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
JAMES M MOORE (CEO)
(309) 655-2880
Entity
Organization
Contact information
Practice address
1001 MAIN ST, STE 200, PEORIA, IL 61606-1907
(309) 672-5682
Mailing address
800 NE GLEN OAK AVE, PEORIA, IL 61603-3255
(309) 655-2880
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
08/28/2009
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