Individual
REBEKAH OSGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR STE 810, CHICAGO, IL 60611-8700
(312) 926-3627
(312) 587-9802
Mailing address
680 N LAKE SHORE DR STE 810, CHICAGO, IL 60611-8700
(312) 926-3627
(312) 587-9802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036132078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125055889
TEMPORARY LICENSE NUMBER
IL
Enumeration date
07/06/2009
Last updated
10/22/2018
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