Individual
GEORGE BOWEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4843 TURNER CT, COUNTRY CLUB HILLS, IL 60478-5829
(219) 290-0914
Mailing address
19 E 77TH ST, 2, CHICAGO, IL 60619-2308
(219) 290-0914
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
12/19/2015
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