OSBORNE WELLNESS CENTER, SC


Address: 7384 Countryshire Ln, Rockford, IL 61107-2772
Phone: 8157080125

OSBORNE WELLNESS CENTER, SC (NPI# 1932227931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932227931
Entity Type Organization
Organization Name OSBORNE WELLNESS CENTER, SC
Practice Address 7384 Countryshire Ln
Rockford
IL 61107-2772
Practice Telephone 8157080125
Practice Fax Number 8157080125
Mailing Telephone 8157080125
Mailing Fax Number 8157080125
Enumeration Date 2007-03-27
Last Update Date 2020-08-22
Authorized Official Name DR. KIMBERLY S. OSBORNE (PRESIDENT)
Authorized Official Telephone 8157080125
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center IL Ambulatory Health Care Facilities

Office Location

Street Address 7384 COUNTRYSHIRE LN
City ROCKFORD
State IL
Zip Code 61107-2772

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1770999872 Healthworks Medical Group of Illinois S C Clinic/Center 2801 S Springfield Ave, Rockford, IL 61102-4205 2014-07-09
1255618732 Jeanne M Flesch PC Clinic/Center 415 S Mulford Rd, Rockford, IL 61108-3011 2011-11-10
1295982973 Brauer Family Chiropractic, Inc. Clinic/Center 7264 Argus Dr, Rockford, IL 61107-5837 2008-08-25
1265601579 Terry R Roth Md PC Clinic/Center 4920 E State St, Rockford, IL 61108-2272 2008-02-21
1710099270 Rebound Physical Therapy Center PC Clinic/Center 3616 N Main St, Rockford, IL 61103-2159 2006-08-31
1750376638 Miller Eye Center Ltd Clinic/Center 2995 Eastrock Dr, Rockford, IL 61109-1737 2005-09-15

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1841804879 Chicago Poly Clinic LLC Clinic/Center 2446 W Devon Ave, Chicago, IL 60659-1913 2020-09-08
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Competitor

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City ROCKFORD
Zip Code 61107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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