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Organization

ILLINOIS PATHOLOGIST SERVICES, LLC

Active
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Organization

ILLINOIS PATHOLOGIST SERVICES, LLC

Active
Parent organization
OSF HEALTHCARE SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
DIANE L MCGREW (PRESIDENT, OSF HEALTHCARE SYSTEM)
(309) 655-2850
Entity
Organization

Contact information

Practice address
5666 E. STATE ST, ROCKFORD, IL 61108-2425
(815) 395-5116
(815) 395-5364
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1320
(309) 655-2850
(309) 655-4878

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary

Other

Enumeration date
07/16/2009
Last updated
02/14/2022
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