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Individual

MARY BOWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
1025 W SUNNYSIDE AVE, CHICAGO, IL 60640-5610
(773) 935-6126
Mailing address
1025 W SUNNYSIDE AVE, CHICAGO, IL 60640-5610

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.010742
IL

Other

Enumeration date
07/26/2014
Last updated
07/26/2014
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