Saint Francis Medical Center
Organization Active NPI Neurology Physician · Peoria, IL
NPI 1154370195 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1154370195
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 0002394 (IL)
- Legal business name
- SAINT FRANCIS MEDICAL CENTER
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-0001 - Phone
- (309) 655-2000
- Fax
- (309) 655-7869
- NPI assigned
- May 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- OSF HEALTHCARE SYSTEM
Authorized official
- Name
- Robert C Sehring
- Title
- Ceo
- Phone
- (309) 655-2850
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 16
Practitioners 37
-
Linda Spangler Batek, M.D.
-
Laura K Bowers, NNP-BC
-
Michael Nadair Daley, M.D.
-
Lisa A Flier, APN
-
Shannon Renee Foiles, APN
-
Kerry A Heinz, L.C.P.C.
-
Andrea A Holmes, APN
-
Jennifer K Horinek, N.P.
-
Sarah Lynn Jacob, APRN, FNP-C
-
Deidra K Lewandowski, N.P.
-
Macie McDaniel, AUD
-
Jeffrey Benjamin Miessau, PA-C
-
Mark Eric Morris, NP
-
Zeny J Murphy, APRN, CNP
-
Alyson Nash, FNP-BC
-
Theresa M. Regan, PH.D.
-
Brianna Marie Schlupp, APRN, CNP
-
Dean Schmidt, ACNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080303000228 | IL | Part B Supplier - Clinic/Group Practice | 9032021258 |
Receives reassigned benefits from 165 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Peoria, IL |
National Provider Directory
- Tax ID family
- Osf St Francis PM R a
- Part of
- Eastland Med Plaza Surg
Locations
106 S 1st St
Fairbury, IL 61739
Phone (815) 635-3177
1405 E 12th St
Ste 600
Mendota, IL 61342
Phone (815) 538-7200
435 Maxine Dr
Morton, IL 61550
Phone (309) 263-2424
330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978
2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | 0002394 | IL | Yes |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other names
- Saint Francis Medical Center Neurology
Other providers in Peoria, IL
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
All providers in Peoria, IL · Neurology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.