Individual
DR. JASON BOWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-8024
Mailing address
323 W MAPLE AVE, LIBERTYVILLE, IL 60048-2139
(740) 815-7226
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036154534
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2012
Last updated
12/04/2020
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