Individual
COLLEEN ELISE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
6025 WOODWARD AVE, DOWNERS GROVE, IL 60516-1715
(630) 795-9071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54456
IL
Other
Enumeration date
04/21/2020
Last updated
09/11/2023
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