| NPI | 1487881058 |
|---|---|
| Doing Business As | OSF MEDICAL GROUP - COLLEGE AVENUE |
| Entity Type | Organization |
| Authorized Contact | JAMES M MOORE CEO 309-655-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207Q00000X Family Medicine | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2083X0100X Preventive Medicine Occupational Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |