OSF MULTI-SPECIALTY GROUP


Address: 211 Greenbriar Dr, Normal, IL 61761-2287
Phone: 3094512080

OSF MULTI-SPECIALTY GROUP (NPI# 1831665611) 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) 1831665611
Entity Type Organization
Organization Name OSF MULTI-SPECIALTY GROUP
Other Organization Name OSF MULTI-SPECIALTY GROUP URGO NORMAL PARKWAY PLAZA
Practice Address 211 Greenbriar Dr
Normal
IL 61761-2287
Practice Telephone 3094512080
Practice Fax Number 3094512081
Mailing Telephone 3094512080
Mailing Fax Number 3094512081
Enumeration Date 2018-10-18
Last Update Date 2018-11-07
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 Normal Parkway Plaza 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
1124585534 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 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
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 211 GREENBRIAR DR
City NORMAL
State IL
Zip Code 61761-2287

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629681796 Brittany Nicole Mekley Nurse Practitioner 201 N. University, Normal, IL 61761 2020-08-28
1679108971 Krystal Halliday Occupational Therapist 1815 N Towanda Barnes Rd, Normal, IL 61761 2020-03-06
1265915474 Laine E Burek Nurse Practitioner 1765 Bradford Ln., Normal, IL 61761 2018-09-13
1801389986 Ashley Michelle James Specialist/Technologist 347 S. University St, Normal, IL 61761 2018-06-12
1447750708 Shelley R. Ruch Specialist/Technologist, Other 1604 Visa Drive, Ste 1, Normal, IL 61761 2018-02-13
1497275069 Mclean County Nursing Home Non-emergency Medical Transport (VAN) 901 N. Main St, Normal, IL 61761 2017-06-23
1235673666 Megan Threm Registered Nurse 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 2016-12-04
1437513553 Tiesha Smith Specialist 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 2016-04-06
1285031658 New Day Recovery Community/Behavioral Health 402 Summit, Normal, IL 61761 2014-12-01
1174927701 Alyssa Marie Bruck Occupational Therapist 700 N Walnut St, Normal, IL 61761 2014-10-10
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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
1902449382 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 1730 Bradford Ln, Normal, IL 61761-1297 2019-10-18

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
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
1124585534 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 5209 W. War Memorial Drive, Grand Prairie Mall, Peoria, IL 61615-9250 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
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Competitor

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City NORMAL
Zip Code 61761

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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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