Individual
MATTHEW M BOWERSOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF ANESTHESIOLOGY, EVANSTON, IL 60201
(847) 570-2287
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036148517
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036.148517
IL
Other
Enumeration date
06/11/2015
Last updated
04/22/2026
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