NPIMap

Organization Active NPI

Osf Multi-Specialty Group

  • Non-Pharmacy Dispensing Site
  • Peoria, IL
National Provider Identifier
1124585534
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
OSF MULTI-SPECIALTY GROUP
Practice address
5209 W. War Memorial Drive
Grand Prairie Mall
Peoria, IL 61615-9250
Phone
(309) 308-5100
Fax
(309) 308-5103
NPI assigned
Feb 22, 2019
Organization subpart
Yes
Parent organization
OSF HEALTHCARE SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert C. Sehring
Title
Ceo, Osf Healthcare System
Phone
(309) 655-2850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

5209 W. War Memorial Drive
Grand Prairie Mall
Peoria, IL 61615-9250

Mailing address

124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850

Other names 2

  • OSF OnCall Urgent Care Doing business as
  • OSF OnCall Urgent Care - Peoria War Memorial Other name

National Provider Directory

National Provider Directory
Tax ID family
Osf Multi-Specialty Group36 organizations share this tax ID, including this one
Part of
Eastland Med Plaza Surg

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1124585534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 W. WAR MEMORIAL DRIVE",
            "address_2": "GRAND PRAIRIE MALL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159250",
            "telephone_number": "309-308-5100",
            "fax_number": "309-308-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF MULTI-SPECIALTY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO, OSF HEALTHCARE SYSTEM",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF OnCall Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF OnCall Urgent Care - Peoria War Memorial",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.