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Beverly Fowler
NPI 1255853172 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11624 S. May Street
Chicago, IL 60643 - Phone
- (773) 291-0674
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-07-12
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