Individual
DR. JEREMY COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Mailing address
8751 S GREENWOOD AVE, #108, CHICAGO, IL 60619-7051
(773) 978-3338
(773) 978-4606
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633823
BCBS
IL
01
—
601015700
DEPT OF LABOR
IL
01
—
P00072953
RAILROAD MEDICARE NUMBER
—
Enumeration date
06/12/2006
Last updated
11/03/2011
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