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Contact Information

OSF MULTISPECIALTY GROUP PEORIA LLC
420 NE GLEN OAK AVE
STE 304
PEORIA, IL61603-3105
 Phone: 309-655-3453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OSF MULTISPECIALTY GROUP PEORIA LLC · (Female)

NPI Number 1770744799
Status Active
Credentials
Entity Individual
Enumeration date 06/23/2008
Last updated 11/14/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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