| NPI | 1679526628 |
|---|---|
| Doing Business As | OSFMG - SOUTH RIDGE IMMEDIATE CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT C SEHRING CEO 309-655-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-03-07 |