Bowie, Audra

Bowie, Audra is an sole proprietor health care provider with primary practice located at 112 E 124Th St , Chicago IL 60628-7519. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bowie, Audra can be contacted via phone (773) 206-5513.

Contact Information

Primary practice address
112 E 124Th St Chicago IL 60628-7519
Phone: (773) 206-5513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180-004700 Illinois

Profile Details

NPI number 1730235631
LBN Legal business name Bowie, Audra
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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