| Osf Medical Group - Cullom | |
|
105 W. Hack St. Cullom IL 60929 | |
| (800) 589-6070 | |
| Not Available |
| Full Name | Osf Medical Group - Cullom |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 105 W. Hack St., Cullom, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Medical Group - Cullom 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Medical Group - Cullom 105 W. Hack St. Cullom IL 60929 Ph: (800) 589-6070 |
| NPI Number | 1790712701 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790712701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Osf Healthcare - Medical Group - Cullom Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 W Hack St, Cullom, IL 60929 Phone: 815-689-2126 Fax: 309-655-4878 |