Osf Multispecialty Group - Eastern Region, LLC

NPI #1487881058 in Bloomington, Illinois

Provider Information

NPI Number: 1487881058
Entity Type: Organization
Organization Name: Osf Multispecialty Group - Eastern Region, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OSF HEALTHCARE SYSTEM
Primary Specialty: Internal Medicine
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 1701 E COLLEGE AVE
City: Bloomington
State: Illinois
ZIP Code: 61704-2101
Phone: (309) 664-3280

Authorized Official

Name: MR. JAMES M MOORE
Title: CEO
Phone: (309) 655-2850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X
Family Medicine	207Q00000X
Neurological Surgery	207T00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Pediatrics	208000000X
Obstetrics & Gynecology	207V00000X
Colon & Rectal Surgery	208C00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Hospitalist	208M00000X
Urology	208800000X
Preventive Medicine - Occupational Medicine — Occupational Medicine	2083X0100X
Orthopaedic Surgery	207X00000X
Psychologist	103T00000X
Internal Medicine	207R00000X	Primary

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