Individual
AUDREY BOWLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4500
(630) 743-4537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4393
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100324020
—
KY
Enumeration date
06/19/2014
Last updated
07/21/2022
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