Organization
JOHN FRANCIS MCGOWAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F MCGOWAN DDS (OWNER)
(773) 779-1415
Entity
Organization
Contact information
Practice address
3838 W 111TH ST, SUITE 105W, CHICAGO, IL 60655-4095
(773) 779-1415
(773) 779-1415
Mailing address
3838 W 111TH ST, SUITE 105W, CHICAGO, IL 60655-4095
(773) 779-1415
(773) 779-1415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
BM3174098
IL
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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