Provider Demographics
NPI:1356885297
Name:OSBORNE, VICTORIA RUTH (APRN CNM)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:RUTH
Last Name:OSBORNE
Suffix:
Gender:
Credentials:APRN CNM
Other - Prefix:
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Mailing Address - Street 1:1200 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61102-2112
Mailing Address - Country:US
Mailing Address - Phone:815-490-1600
Mailing Address - Fax:815-490-1881
Practice Address - Street 1:7000 S COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-6973
Practice Address - Country:US
Practice Address - Phone:630-793-2676
Practice Address - Fax:630-793-2677
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209015288367A00000X
IL041394595163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse