Active NPI
Osf Healthcare System
Doing business as OSF Little Company of Mary Medical Center
- Psychiatric Hospital Unit
- Evergreen Park, IL
National Provider Identifier
1295370039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- OSF HEALTHCARE SYSTEM
- Doing business as
- OSF Little Company of Mary Medical Center
- Practice address
- 2800 W 95TH St
Evergreen Park, IL 60805-2701 - Phone
- (708) 422-6300
- NPI assigned
- Nov 15, 2019
- Last updated
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert C Sehring
- Title
- Ceo
- Phone
- (309) 655-2850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | NU | Primary |
Addresses
Primary practice location
2800 W 95TH St
Evergreen Park, IL 60805-2701
Mailing address
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 655-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028 | Medicaid | IL |
Other names 1
- OSF Little Company of Mary Medical Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1295370039",
"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": "2800 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052701",
"telephone_number": "708-422-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSF HEALTHCARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-15",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "SEHRING",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "309-655-2850"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "028",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OSF Little Company of Mary Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evergreen Park, IL
- Chijoke H Onyenwenyi, MD
- Optech Orthotics & Prosthetics Services, LTD
- Goda Orentaite, PA-C
- Sarah Orsi, HEARING INSTR. SPECI
- Osf Healthcare System (OSF Little Company of Mary Medical Center)
- Osf Healthcare System (OSF Little Company of Mary Medical Center)
- Osf Multi-Specialty Group (OSF OnCall Urgent Care)
- Aladeyemi Osho, MD
- Joseph H Oyama, M.D.
- P C Goodwin Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.