Search › Illinois › 101YA0400X

Kenneth Osborne, CRADC, NCAC 1, ICAC

NPI 1427932789 · on the registry since 2025 · sole proprietor

Practice

Address
21037 Coventry Cir
Shorewood, IL 60404
Phone
(708) 527-4282

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois