Healthcare Provider Details

I. General information

NPI: 1851925804
Provider Name (Legal Business Name): CRAIG OSBORN N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W HARLEM AVE
MONMOUTH IL
61462-1007
US

IV. Provider business mailing address

1000 W HARLEM AVE
MONMOUTH IL
61462-1007
US

V. Phone/Fax

Practice location:
  • Phone: 309-734-3141
  • Fax: 309-734-3029
Mailing address:
  • Phone: 309-734-3141
  • Fax: 309-734-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209020439
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: