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Individual

DENISE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1975 LIN LOR LN, PLAZA SUITE, ELGIN, IL 60123-4902
(847) 468-6098
(847) 468-6095
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-005913
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070005913
STATE LICENSE
IL
Enumeration date
07/19/2006
Last updated
10/29/2012
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