OSFMG - Pontiac – Family Medicine Physician, NPI 1699722983
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OSFMG - Pontiac
124 SW ADAMS ST
PEORIA, IL 616021308
Phone: (309) 655-2850
Fax: (815) 842-6803
Type: Mailing
West Reynolds Street, Pontiac, Livingston County, Illinois, 61764, United States
PONTIAC, IL 617649774
Phone: (800) 589-6070
Fax: (309) 683-5969
Type: Location
Peoria Post Office, 10700, North 85th Avenue, Peoria, Maricopa County, Arizona, 85345, United States
PEORIA, IL 616561712
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61602)
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