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Individual
PHILLIP G MCGOWAN
Active
Individual
PHILLIP G MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08382004
BCBS OF ILLINOIS
IL
Enumeration date
09/25/2006
Last updated
07/23/2010
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