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Organization

OSF MULTISPECIALTY GROUP PEORIA LLC

Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
SISTER DIANE MARIE MCGREW (PRESIDENT/TREASURER)
(309) 655-2850
Entity
Organization

Contact information

Practice address
420 NE GLEN OAK AVE, STE 304, PEORIA, IL 61603-3105
(309) 655-3453
Mailing address
420 NE GLEN OAK AVE, STE 304, PEORIA, IL 61603-3105

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary

Other

Enumeration date
06/23/2008
Last updated
11/14/2014
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