OSF MULTI-SPECIALTY GROUP


Address: 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250
Phone: 3093085100

OSF MULTI-SPECIALTY GROUP (NPI# 1124585534) 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) 1124585534
Entity Type Organization
Organization Name OSF MULTI-SPECIALTY GROUP
Practice Address 5209 W. War Memorial Drive
Grand Prairie Mall
Peoria
IL 61615-9250
Practice Telephone 3093085100
Practice Fax Number 3093085103
Mailing Telephone 3093085100
Mailing Fax Number 3093085103
Enumeration Date 2019-02-22
Last Update Date 2019-02-22
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 Peoria Grand Prairie 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
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
1548736390 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 133 Spinder Drive Ste 4015, East Peoria, IL 61611 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 5209 W. WAR MEMORIAL DRIVE
GRAND PRAIRIE MALL
City PEORIA
State IL
Zip Code 61615-9250

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

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 city

NPI Name Taxonomy Address Enumeration
1770125387 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 5901 N Prospect Rd, Peoria, IL 61614-4358 2019-10-15
1063986511 Zjrd, LLC Non-Pharmacy Dispensing Site 13090 N 94th Dr Ste 212, Peoria, AZ 85381-4258 2019-01-17
1982170734 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 2018-10-19
1194138545 The Pain Center of Arizona, PC Non-Pharmacy Dispensing Site 9401 W Thunderbird Rd, Suite 180, Peoria, AZ 85381-4233 2014-06-03
1396156139 Banner Health Non-Pharmacy Dispensing Site 13640 N Plaza Del Rio Blvd, 3rd Floor, Suite 350, Peoria, AZ 85381-4846 2014-05-14
1932442928 Afc of Peoria, Pllc Non-Pharmacy Dispensing Site 15256 N 75th Ave, Suite 360, Peoria, AZ 85381-4760 2013-03-28

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
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
1386118057 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 263 Shuman Boulevard, Suite 125, Naperville, IL 60563 2019-01-16
Find all providers with the same taxonomy

Competitor

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City PEORIA
Zip Code 61615

Improve Information

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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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