OSF Medical Group - College Avenue – Internal Medicine Physician, NPI 1487881058

OSF Medical Group - College Avenue is a healthcare provider. based in Peoria, Illinois. specializing in Internal Medicine Physician. The NPI Number for OSF Medical Group - College Avenue is 1487881058

Main info

Organization
Name
OSF Medical Group - College Avenue
NPI
1487881058
Phone
Not provided
Address
800 NE GLEN OAK AVE
Authorized Official
MR. JAMES M MOORE CEO
Enumeration Date
22 June 2009
Last Update Date
22 June 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for OSF Medical Group - College Avenue

  • 800, Northeast Glen Oak Avenue, Peoria, Peoria County, Illinois, 61603, United States

    PEORIA, IL 616033255

    Phone:

    Type: Mailing

  • 1701, East College Avenue, Bloomington, McLean County, Illinois, 61704, United States

    BLOOMINGTON, IL 617042101

    Phone: (309) 664-3280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61603)

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Reviews

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Frequently asked questions

Can I cross-check OSF Medical Group - College Avenue using NPI 1487881058?
NPI 1487881058 belongs to OSF Medical Group - College Avenue; compare other details if you need extra assurance.
Is there an active status for OSF Medical Group - College Avenue?
For scheduling context, OSF Medical Group - College Avenue is shown as active in the registry.
What area of care is associated with OSF Medical Group - College Avenue?
OSF Medical Group - College Avenue's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is OSF Medical Group - College Avenue located near Peoria?
OSF Medical Group - College Avenue currently maps to Peoria, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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