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OSF MULTI-SPECIALTY GROUP NPI 1467041343


NPI Information

NPI: 1467041343
Provider Name: OSF MULTI-SPECIALTY GROUP

Other Name: BCBS MEDICAID

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D0993492

Address:
8600 N STATE ROUTE 91
PEORIA, IL
ZIP 61615
Phone: (309) 683-5050
Get Directions

OSF MULTI-SPECIALTY GROUP is an internal medicine in Peoria, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. OSF MULTI-SPECIALTY GROUP NPI is 1467041343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bcbs Medicaid.

The provider's business location address is:

8600 N STATE ROUTE 91
PEORIA, IL
ZIP 61615-541
Phone: (309) 683-5050

The provider's authorized official is Robert C Sehring .
The authorized official title is Chief Executive Officer and has the following contact phone number (309) 655-2850.

The CLIA number assigned to this NPI record is 14D0993492 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2021 and was last updated on 3/7/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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