Individual
MRS. CAROLYN FAYE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7213 S ROCKWELL ST, CHICAGO, IL 60629-2029
(773) 436-5208
Mailing address
7213 S ROCKWELL ST, CHICAGO, IL 60629-2029
(773) 436-5208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041204455
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041204455
RN
IL
Enumeration date
08/06/2007
Last updated
10/05/2017
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