Individual
DANIEL LOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1101 LAKE ST, OAK PARK, IL 60301-1085
(708) 232-3227
Mailing address
1101 LAKE ST, OAK PARK, IL 60301-1085
(708) 232-3227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003835
IL
363A00000X
Physician Assistant
Primary
385.007044
IL
Other
Enumeration date
11/20/2014
Last updated
01/19/2023
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