Individual
DR. LORI NINETTE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3040 N WILTON AVE FL 2, ADVOCATE IL MASONIC PEDIATRIC DEVELOPMENTAL CENTER, CHICAGO, IL 60657-4424
(773) 296-7688
(773) 296-7281
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LO55330502P
EARLY INTERVENTION
IL
Enumeration date
03/15/2007
Last updated
12/01/2022
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