Provider Demographics
NPI:1417505363
Name:OSHER, JANE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:OSHER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:ROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4440 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2600
Mailing Address - Country:US
Mailing Address - Phone:708-684-4693
Mailing Address - Fax:708-520-1985
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-4693
Practice Address - Fax:708-520-1985
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001732231H00000X
IN23002698A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist