Individual
BROOKE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
111 W POLK ST APT 602, CHICAGO, IL 60605-2096
(561) 900-8195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033813
IL
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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