Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 120 E 7th St, Minonk, Illinois |
Authorized Official Name and Position | Robert C Sehring (CEO, OSF HEALTHCARE SYSTEM) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | 120 E 7th St Minonk IL 61760-1135 Ph: (309) 432-2515 |
NPI Number | 1801511266 |
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Provider Enumeration Date | 10/07/2022 |
Last Update Date | 07/31/2024 |
Medicare PECOS PAC ID | 0648187252 |
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Medicare Enrollment ID | O20221128001318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801511266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |