OSF MULTI-SPECIALTY GROUP


Address: 133 Spinder Drive Ste 4015, East Peoria, IL 61611
Phone: 3093085100

OSF MULTI-SPECIALTY GROUP (NPI# 1548736390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548736390
Entity Type Organization
Organization Name OSF MULTI-SPECIALTY GROUP
Other Organization Name OSF MULTI-SPECIALTY GROUP URGO EAST PEORIA LEVEE DISTRICT
Practice Address 133 Spinder Drive Ste 4015
East Peoria
IL 61611
Practice Telephone 3093085100
Practice Fax Number 3093085102
Mailing Telephone 3093085100
Mailing Fax Number 3093085102
Enumeration Date 2018-10-19
Last Update Date 2018-11-07
Authorized Official Name AMY M. KRANTZ (MANAGER STRATEGIC REIMBURSEMENT)
Authorized Official Telephone 3096552865
Is Organization Subpart Y
Parent Organization Name OSF HEALTHCARE SYSTEM

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
OSF Multi-Specialty Group Urgo East Peoria Levee District Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497398648 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 853 W Jackson Plaza, Morton, IL 61550 2019-10-21
1902449382 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 1730 Bradford Ln, Normal, IL 61761-1297 2019-10-18
1215494620 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 3653 N Vermilion Dr, Danville, IL 61832 2019-02-22
1306303714 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 2019-02-22
1124585534 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 2019-02-22
1871050237 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 508 Iaa Dr, Bloomington, IL 61701-2216 2019-02-21
1518424969 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 2901 Columbus St, Ottawa, IL 61350-1009 2019-02-21
1083180830 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 2718 N Prospect Avenue, Champaign, IL 61822 2018-10-19
1831665611 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 211 Greenbriar Dr, Normal, IL 61761-2287 2018-10-18
1396211272 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 1715 N Division St Ste 4d5e, Morris, IL 60450-3100 2018-10-18

Office Location

Street Address 133 SPINDER DRIVE STE 4015
City EAST PEORIA
State IL
Zip Code 61611

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083128474 Abc Counseling & Family Services Clinic/Center 111 W. Washington St., Suite 410b, East Peoria, IL 61611 2017-11-22
1386162253 Cheryl Denise Hagedorn Speech-Language Pathologist 306 Eckley Avenue, East Peoria, IL 61611 2017-08-31
1710342076 Rebecca Uthe Physical Therapist 901 Illini Drive, East Peoria, IL 61611 2015-12-30
1669812103 Christopher Webb Dentist 360 West Washington Street, East Peoria, IL 61611 2013-06-28
1386985380 Dental Professionals of Illinois, P.C. Dentist 368 W. Washington St., East Peoria, IL 61611 2013-03-15
1730432675 Synergy Healthcare Physical Medicine Sc Chiropractor 350 Cimmeron Drive, East Peoria, IL 61611 2012-10-16
1508122029 Daniel Benjamin Gans Radiology 111 Oakwood Rd, East Peoria, IL 61611 2012-04-10
1326288390 Sara Sabry Fouad Rizk Pharmacist 2540 East Washington Street, East Peoria, IL 61611 2009-03-03
1356466007 Tazwood Mental Health Center, Inc. Counselor 111 W. Washington Street, Suite 230, East Peoria, IL 61611 2007-03-20
1548315575 Thomas R. Nalepka D.d.s Dentist 809 W Camp St, East Peoria, IL 61611 2007-01-23
Find all providers in zip 61611

Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013520113 Pmr Illinois Holding, LLC Non-Pharmacy Dispensing Site 600 E Sibley Blvd, Dolton, IL 60419-2599 2020-08-28
1386255123 Dermatology Associates Ltd Non-Pharmacy Dispensing Site 13401 S Ridgeland Ave, Palos Heights, IL 60463-1898 2020-08-14
1497398648 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 853 W Jackson Plaza, Morton, IL 61550 2019-10-21
1902449382 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 1730 Bradford Ln, Normal, IL 61761-1297 2019-10-18
1073173134 Shobhana Patodia Non-Pharmacy Dispensing Site 1111 Superior St Ste 206, Melrose Park, IL 60160-4156 2019-06-19
1215494620 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 3653 N Vermilion Dr, Danville, IL 61832 2019-02-22
1306303714 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 2019-02-22
1124585534 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 2019-02-22
1871050237 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 508 Iaa Dr, Bloomington, IL 61701-2216 2019-02-21
1518424969 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 2901 Columbus St, Ottawa, IL 61350-1009 2019-02-21
Find all providers with the same taxonomy

Competitor

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City EAST PEORIA
Zip Code 61611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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