Osf Multispecialty Group Peoria Llc in Peoria - Pediatric Cardiology
Osf Multispecialty Group Peoria Llc - NPI 1770744799
Osf Multispecialty Group Peoria Llc is a Pediatric Cardiology in Peoria, Illinois. Osf Multispecialty Group Peoria Llc practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Osf Multispecialty Group Peoria Llc is 1770744799. The last update date is 2014-11-14.
Osf Multispecialty Group Peoria Llc's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453. The mailing address for Osf Multispecialty Group Peoria Llc is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Osf Multispecialty Group Peoria Llc |
|---|---|
| Address | 420 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553453 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mcgrew Marie Sister Diane |
| Telephone Number | 3096552850 |
NPI Number Detail
| NPI Number | 1770744799 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2014-11-14 |
Provider Mailing Address Detail
| Address | 420 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616033105 |
| Phone Number | 3096553453 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Cardiology |
|---|---|
| Taxonomy | 2080P0202X |
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Definition: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica |
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What is the Osf Multispecialty Group Peoria Llc's 1770744799?
The Osf Multispecialty Group Peoria Llc's NPI (National Provider Identifier) Number is 1770744799. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Osf Multispecialty Group Peoria Llc is geographically located?
The Osf Multispecialty Group Peoria Llc is physically situated at the following location: 420 Ne Glen Oak Ave, Peoria, IL, 616033105.
What is the Osf Multispecialty Group Peoria Llc's area of specialization and corresponding taxonomy classification?
The Osf Multispecialty Group Peoria Llc's specialty field is Pediatric Cardiology, and it falls under the taxonomy code 2080P0202X, which categorizes healthcare providers based on their specialties.
On what date was the 1770744799 assigned to Osf Multispecialty Group Peoria Llc?
The Osf Multispecialty Group Peoria Llc was issued its 1770744799 on 2008-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Osf Multispecialty Group Peoria Llc's details last updated?
The information pertaining to the Osf Multispecialty Group Peoria Llc, including its address, specialty, and other details, was most recently updated on 2014-11-14.