Individual
JENNIFER S COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2657 N CLYBOURN AVE, CHICAGO, IL 60614-6862
(847) 212-8873
Mailing address
5051 N OAKLEY AVE APT 2, CHICAGO, IL 60625-9344
(847) 212-8873
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070015295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617235
BCBS
IL
Enumeration date
12/10/2008
Last updated
11/29/2022
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