Individual
MR. KENNETH LAMARR OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRADC, NCAC 1, ICAC
Contact information
Practice address
21037 COVENTRY CIR, SHOREWOOD, IL 60404-2518
(708) 527-4282
Mailing address
21037 COVENTRY CIR, SHOREWOOD, IL 60404-2518
(708) 527-4282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22470
IL
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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