Individual
DR. GREGORY COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 EAST MAIN STREET, MT. STERLING, IL 62353-1326
(217) 773-3484
Mailing address
108 EAST MAIN STREET, MT. STERLING, IL 62353-1326
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00582003
BS OF IL PROVIDER NUMBER
IL
01
—
038005980
RR PROVIDER NUMBER
IL
Enumeration date
10/04/2006
Last updated
09/19/2011
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