Osborne, Blake Douglas

Osborne, Blake Douglas is an individual health care provider with primary practice located at 5225 Old Orchard Rd Suite 29, Skokie IL 60077-4405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Osborne, Blake Douglas can be contacted via phone (847) 966-8806.

Contact Information

Primary practice address
5225 Old Orchard Rd Suite 29 Skokie IL 60077-4405
Phone: (847) 966-8806
Fax: (847) 475-1245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1538225768
LBN Legal business name Osborne, Blake Douglas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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