Individual
BETHANY BOWKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3886
(847) 876-2336
Mailing address
960 AUDUBON WAY, LINCOLNSHIRE, IL 60069-3886
(847) 876-2336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011435
IL
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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