Individual
MISS LAURA ELIZABETH OSOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E HURON ST STE 11-140, CHICAGO, IL 60611-2968
(312) 926-8636
(312) 695-1903
Mailing address
4400 W 95TH ST, SUITE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-005310
IL
Other
Enumeration date
12/04/2014
Last updated
03/17/2018
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