Organization
SAINT ANTHONY MEDICAL CENTER
Active
Organization
SAINT ANTHONY MEDICAL CENTER
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
SAINT ANTHONY MED CENTER ONCOLOGY GROUP, OSF Saint Anthony Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT C SEHRING (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010115223
BLUE CROSS BLUE SHIELD
IL
01
—
CC8684
MEDICARE RAILROAD
IL
01
—
DE3455
MEDICARE RAILROAD
IL
01
—
DE5346
MEDICARE RAILROAD
IL
Enumeration date
05/23/2007
Last updated
03/07/2024
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