Organization
ILLINOIS NEUROLOGICAL INSTITUTE-PHYSICIANS LLC
Active
Parent organization
OSF HEALTHCARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
JAMES M MOORE (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605-2530
(309) 676-0766
Mailing address
719 N WILLIAM KUMPF BLVD, SUITE 100, PEORIA, IL 61605-2530
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/23/2009
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