Individual
ADAM RANDEL OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5550
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(309) 672-5050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209009909
IL
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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