Individual
MARCHELE A BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5005 HONONEGAH RD, ROSCOE, IL 61073-8682
(815) 623-2555
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105223
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105223
—
IL
Enumeration date
08/31/2006
Last updated
02/10/2021
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