Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Osf Multispecialty Group - Eastern Region, LLC

Organization Psychologist · NPI 1487881058

Osf Multispecialty Group - Eastern Region, LLC is a Psychologist in Bloomington, Illinois. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
15
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 E College Ave
Bloomington, IL 61704-2101
Phone: (309) 664-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1487881058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOsf Healthcare System
Authorized official James Moore — Ceo · (309) 655-2850
Other names Osf Medical Group - College Avenue
NPI enumeratedJune 22, 2009
Last updated in NPPESJune 22, 2009
Mailing address800 Ne Glen Oak Ave, Peoria, IL 61603-3255

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