Organization
ST JOSEPH MEDICAL CENTER
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
HeartCare Midwest
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT C. SEHRING (CEO OSF HEALTHCARE SYSTEM)
(309) 665-2850
Entity
Organization
Contact information
Practice address
1505 EASTLAND DR, SUITE 110, BLOOMINGTON, IL 61701-3534
(309) 663-9800
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057-32087
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/11/2006
Last updated
03/14/2024
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