Individual
ANGELITA M GOWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 425-4162
(708) 425-8708
Mailing address
6817 97TH PL, CHICAGO RIDGE, IL 60415-1183
(708) 425-4162
(708) 425-8708
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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