Osf Children's Medical Group - Congenital Heart Center, LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

OSF CHILDREN'S MEDICAL GROUP - CONGENITAL HEART CENTER, LLC

Practice address

5701 Strathmoor Dr
Ste 1
Rockford, IL 61107-5182

Phone

(815) 227-5600

NPI assigned

May 6, 2011

Organization subpart

Yes

Parent organization

OSF HEALTHCARE SYSTEMAs reported in NPPES

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

Authorized official

Name

Kevin D Schoeplein

Title

Ceo

Phone

(309) 655-2880

Specialties & licenses 1

Addresses

Part of

Eastland Med Plaza Surg

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Osf Healthcare System

  dba OSF Healthcare Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1093370108

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1821380064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033255",
            "telephone_number": "309-655-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 STRATHMOOR DR",
            "address_2": "STE 1",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075182",
            "telephone_number": "815-227-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF CHILDREN'S MEDICAL GROUP - CONGENITAL HEART CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OSF HEALTHCARE SYSTEM",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "SCHOEPLEIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2880"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay M Osadjan, R.D.,L.D.N.
• Osborne Wellness Center, SC
• Sara Osborne, LSW
• Trisha Osborne
• Elizabeth Oseland, RBT
• Osf Healthcare System (OSF Healthcare Home Medical Equipment)
• Osf Lifeline Ambulance, LLC
• Osf Multi-Specialty Group
• Jessica L Oslund, N.P.
• Sandra Ostendorf, PT

• Pediatric Cardiology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Pediatric Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.