Individual
RASHINA JANAI BOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
1801 S HIGHLAND AVE STE 220, LOMBARD, IL 60148-4932
(630) 790-1872
(630) 873-8812
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096002530
IL
363A00000X
Physician Assistant
Primary
085.004994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406120
MEDICARE PTAN FOR SCMG
IL
01
—
F400139316
PTAN
—
Enumeration date
03/08/2014
Last updated
01/24/2025
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