Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mendota Community Hospital

Organization Family Medicine Physician · NPI 1407872997

Mendota Community Hospital is a Family Medicine Physician in Mendota, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
5

Practice location Address checks out

1401 E 12th St
Mendota, IL 61342-9216
Phone: (815) 539-7461
Fax: (815) 538-5516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0001537 (IL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 0001537 (IL)
Surgery Physician Taxonomy 208600000X · Licence 0001537 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 0001537 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 0001537 (IL)

Record details

NPI number1407872997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Sehring — Ceo, Osf Healthcare System · (306) 655-2850
Other names Osf Medical Group-Mendota; Physician Services Of McH
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 18, 2024
Certification dateFebruary 29, 2024
Mailing address124 Sw Adams St, Peoria, IL 61602-1320

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