| Osf Healthcare - Streator Medical Group | |
|
111 Spring St Fl 4 Streator IL 61364-3332 | |
| (815) 672-4587 | |
| Not Available |
| Full Name | Osf Healthcare - Streator Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Spring St Fl 4, Streator, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO) |
| Authorized Official Contact | 3096552850 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Healthcare - Streator Medical Group 124 Sw Adams St Peoria IL 61602-1320 Ph: (309) 655-2850 | Osf Healthcare - Streator Medical Group 111 Spring St Fl 4 Streator IL 61364-3332 Ph: (815) 672-4587 |
| NPI Number | 1891399432 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 0648187252 |
|---|---|
| Medicare Enrollment ID | O20050713000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891399432 | NPI | - | NPPES |
| 022 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Joan Marie Luckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881767762 PECOS PAC ID: 7113004391 Enrollment ID: I20080411000656 |
| Provider Name | Louis R Lukancic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326153651 PECOS PAC ID: 0648332783 Enrollment ID: I20081223000635 |
| Provider Name | Shawn E Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447363585 PECOS PAC ID: 2365530219 Enrollment ID: I20090625000330 |
| Provider Name | Fazal A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669430567 PECOS PAC ID: 2163564980 Enrollment ID: I20100116000161 |
| Provider Name | Shai J Nyi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073606323 PECOS PAC ID: 5496898991 Enrollment ID: I20100205000423 |
| Provider Name | Cynthia Asuncion Cabalfin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497708382 PECOS PAC ID: 4284646290 Enrollment ID: I20100318000102 |
| Provider Name | Kia Sherise Boxley-gillespie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477655686 PECOS PAC ID: 8325174121 Enrollment ID: I20100331000725 |
| Provider Name | Michelle Lynn Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164629531 PECOS PAC ID: 2365567328 Enrollment ID: I20100914000609 |
| Provider Name | Rahul R Sampat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790937092 PECOS PAC ID: 4981886983 Enrollment ID: I20110312000081 |
| Provider Name | Anne M Lauterjung |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881614857 PECOS PAC ID: 2668657826 Enrollment ID: I20110503000526 |
| Provider Name | Susan C Pavlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679550420 PECOS PAC ID: 3678594413 Enrollment ID: I20130322000029 |
| Provider Name | Jessica L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518202373 PECOS PAC ID: 6103061635 Enrollment ID: I20130403000550 |
| Provider Name | Christine E Hermosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838862 PECOS PAC ID: 7911134770 Enrollment ID: I20131226001054 |
| Provider Name | Hallie A Konieczki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619425204 PECOS PAC ID: 0749564078 Enrollment ID: I20170303001488 |
| Provider Name | Britnae L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922524578 PECOS PAC ID: 8628335718 Enrollment ID: I20171128000808 |
| Provider Name | Austin D Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730560822 PECOS PAC ID: 2163739541 Enrollment ID: I20180629001614 |
| Provider Name | Carrie B Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427531615 PECOS PAC ID: 8628320975 Enrollment ID: I20181015001561 |
| Provider Name | Alisha N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197745 PECOS PAC ID: 2567715519 Enrollment ID: I20181022002454 |
| Provider Name | Vijay K Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053795765 PECOS PAC ID: 0446564686 Enrollment ID: I20181026000437 |
| Provider Name | Jeanette T Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407408149 PECOS PAC ID: 7719213503 Enrollment ID: I20190801000213 |
| Provider Name | Keith J Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255844189 PECOS PAC ID: 9133552466 Enrollment ID: I20191127001370 |
| Provider Name | Jill L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891327797 PECOS PAC ID: 5092145524 Enrollment ID: I20200423001315 |
| Provider Name | Lena M Beale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164078788 PECOS PAC ID: 3072841980 Enrollment ID: I20200522002623 |
| Provider Name | Susan J Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491663 PECOS PAC ID: 8527472661 Enrollment ID: I20210201000392 |
| Provider Name | Marcela R Lemus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962175562 PECOS PAC ID: 5294131041 Enrollment ID: I20210902002559 |
| Provider Name | Candace R Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053087767 PECOS PAC ID: 9537567391 Enrollment ID: I20211007003068 |
| Provider Name | Emily K Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629703079 PECOS PAC ID: 9436535523 Enrollment ID: I20220927001345 |
| Provider Name | Melissa E Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043943830 PECOS PAC ID: 1254703887 Enrollment ID: I20230208002099 |
| Provider Name | Amy Gail Corsolini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992407738 PECOS PAC ID: 9638538093 Enrollment ID: I20230703000184 |
| Provider Name | Bridget A Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427741933 PECOS PAC ID: 6901266659 Enrollment ID: I20230713001900 |
| Provider Name | Julie A Threadgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770360422 PECOS PAC ID: 3173972262 Enrollment ID: I20231214002664 |
| Provider Name | Rebecca L Sedlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437913555 PECOS PAC ID: 6204272776 Enrollment ID: I20240307001325 |
Medical Service Corporation Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W 6th St Ste 206, Streator, IL 61364 Phone: 815-252-1805 Fax: 815-663-0103 | |
Indra Pal Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Sixth Street, Streator, IL 61364 Phone: 815-674-0567 Fax: 815-672-8933 | |
Streator Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 E Bridge St, Streator, IL 61364 Phone: 815-672-5500 Fax: 815-673-5522 | |
Muhammad Zafar Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 614 S Bloomington St, Streator, IL 61364 Phone: 815-672-5870 Fax: 815-673-1634 | |
Hshs Medical Group Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Parkview Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Fountain Healthcare Limited Liability Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 N 1590th Rd, Streator, IL 61364 Phone: 815-793-6611 Fax: 630-592-7500 |