Provider Demographics
NPI:1275698565
Name:OSAR CONSULTING INC
Entity Type:Organization
Organization Name:OSAR CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MATTEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-343-4012
Mailing Address - Street 1:800 AUSTIN ST
Mailing Address - Street 2:WEST TOWER, SUITE 308
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3439
Mailing Address - Country:US
Mailing Address - Phone:773-343-4012
Mailing Address - Fax:
Practice Address - Street 1:800 AUSTIN ST
Practice Address - Street 2:WEST TOWER, SUITE 308
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3439
Practice Address - Country:US
Practice Address - Phone:773-343-4012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38008465111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01625953OtherBLUE CROSS
IA583770Medicare ID - Type Unspecified