Individual
STEPHANIE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 S ARLINGTON HEIGHTS RD STE 116, ARLINGTON HEIGHTS, IL 60005-4142
(847) 666-5339
Mailing address
1907 HARRISON ST, MAYWOOD, IL 60153-2901
(708) 548-8732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009851
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/19/2023
Last updated
11/06/2023
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