Individual
KEITH BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
611 W PARK ST, FAPC, URBANA, IL 61801
(217) 902-5292
Mailing address
1404 BRIARCLIFF DR, NEW LENOX, IL 60451-2658
(815) 210-7520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.408998
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209020767
IL
Other
Enumeration date
01/06/2020
Last updated
03/06/2020
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