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Organization

OSF HEALTHCARE SYSTEM

Active
Other names
OSF Medical Group Family Medicine Roseville, OSF Holy Family Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT C SEHRING (CHIEF EXECUTIVE OFFICER)
(309) 655-2850
Entity
Organization

Contact information

Practice address
235 E PENN AVE, ROSEVILLE, IL 61473-5006
(309) 426-2128
(309) 426-2455
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
999
IL
Enumeration date
10/20/2020
Last updated
03/18/2024
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