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Organization

SAINT ANTHONY MEDICAL CENTER

Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
Saint Anthony Medical Center Emergency Medicine, 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
(815) 395-5449
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0002253
IL

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
06/03/2006
Last updated
03/07/2024
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