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 provides Family Medicine Physician services 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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