Provider Demographics
NPI:1851494967
Name:OSKO, RHONDA SUSAN (RN, CRC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:SUSAN
Last Name:OSKO
Suffix:
Gender:F
Credentials:RN, CRC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 W PARK AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-6359
Mailing Address - Country:US
Mailing Address - Phone:630-260-1529
Mailing Address - Fax:
Practice Address - Street 1:615 W PARK AVE STE 500
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-6359
Practice Address - Country:US
Practice Address - Phone:630-260-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002222274OtherEXISTING BCBS PROVIDER