Organization
NEIGHBORHOOD HEALTHCARE SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY COWAN DPM (OWNER)
(773) 978-3338
Entity
Organization
Contact information
Practice address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Mailing address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602226
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/18/2011
Last updated
11/03/2011
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