| Osf Healthcare - Medical Group - Dwight | |
|
107 Watters Dr Ste 100 Dwight IL 60420-1280 | |
| (815) 584-3343 | |
| (309) 655-4878 |
| Full Name | Osf Healthcare - Medical Group - Dwight |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Watters Dr Ste 100, Dwight, Illinois |
| Authorized Official Name and Position | Robert C Sehring (CEO, OSF HEALTHCARE SYSTEM) |
| Authorized Official Contact | 3096557804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osf Healthcare - Medical Group - Dwight 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Healthcare - Medical Group - Dwight 107 Watters Dr Ste 100 Dwight IL 60420-1280 Ph: (815) 584-3343 |
| NPI Number | 1205551652 |
|---|---|
| Provider Enumeration Date | 10/07/2022 |
| Last Update Date | 07/31/2024 |
| Medicare PECOS PAC ID | 0648187252 |
|---|---|
| Medicare Enrollment ID | O20221108002508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205551652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Medical Center Of Dwight Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 S John St, Dwight, IL 60420 Phone: 815-584-3051 | |
Michael C Cichon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Susan Dr, Dwight, IL 60420 Phone: 815-584-3588 | |
Family Medical Clinic Of Livingston County Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W South St, Dwight, IL 60420 Phone: 815-584-1234 Fax: 815-584-1716 |