Mrs Victoria Ruth Osborne, APRN CNM | |
7000 S County Line Rd, Burr Ridge, IL 60527-6973 | |
(630) 793-2676 | |
(630) 793-2677 |
Full Name | Mrs Victoria Ruth Osborne |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 7000 S County Line Rd, Burr Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356885297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209015288 (Illinois) | Primary |
163W00000X | Registered Nurse | 041394595 (Illinois) | Secondary |
Entity Name | Crusaders Central Clinic Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902972557 PECOS PAC ID: 5799682993 Enrollment ID: O20031216000642 |
Mailing Address | Practice Location Address |
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Mrs Victoria Ruth Osborne, APRN CNM 1200 W State St, Rockford, IL 61102-2112 Ph: (815) 490-1600 | Mrs Victoria Ruth Osborne, APRN CNM 7000 S County Line Rd, Burr Ridge, IL 60527-6973 Ph: (630) 793-2676 |
Maria Fernanda Escamilla Encinas, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7000 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-793-2676 | |
Grace Miyoko Sells, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7000 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-793-2676 |