Individual
KATHERINE A MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 19-100, CHICAGO, IL 60611-5975
(312) 695-4633
Mailing address
4331 N SACRAMENTO AVE APT 2, CHICAGO, IL 60618-1471
(773) 251-1043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006657
IL
Other
Enumeration date
12/05/2007
Last updated
01/07/2013
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