Individual
DR. TRACY J COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6800 W US HIGHWAY 34, PLANO, IL 60545-9607
(630) 552-1593
Mailing address
698 NELSON CT, GENEVA, IL 60134-4686
(239) 443-8144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008730
IL
152W00000X
Optometrist
OPC-4311
FL
Other
Enumeration date
10/05/2007
Last updated
08/20/2020
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