Organization
SAINT ANTHONY MEDICAL CENTER
Active
Parent organization
OSF HEALTHCARE SYSTEM
Other names
OSF Saint Anthony Medical Center, Saint Anthony Medical Center Hospital Based Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSF HEALTHCARE SYSTEM
Authorized official
ROBERT C SEHRING (CEO)
(309) 655-2850
Entity
Organization
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
(815) 395-5449
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 655-2850
(309) 655-4878
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0002253
IL
207T00000X
Neurological Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010115223
BLUE CROSS BLUE SHIELD
IL
01
—
CC8684
MEDICARE RAILROAD
IL
01
—
DE3455
MAEDICARE RAILROAD
IL
01
—
DE5346
MEDICARE RAILROAD
IL
Enumeration date
06/03/2006
Last updated
03/07/2024
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