Individual
MRS. CRYSTAL D COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 829-1038
(630) 829-1080
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.034423
IL
363L00000X
Nurse Practitioner
3599-33
WI
364SP0200X
Pediatric Clinical Nurse Specialist
3599
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609011261
—
WI
Enumeration date
12/11/2008
Last updated
02/19/2026
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