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
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
(309) 624-4010
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/22/2008
Last updated
04/08/2016
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