Provider Demographics
NPI:1255685848
Name:OSBORN, BARBARA (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OSBORN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1643 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1102
Mailing Address - Country:US
Mailing Address - Phone:847-358-3771
Mailing Address - Fax:
Practice Address - Street 1:999 N ELMHURST RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1135
Practice Address - Country:US
Practice Address - Phone:847-660-2028
Practice Address - Fax:847-660-2025
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051036139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist