Cowan, Jennifer S
Cowan, Jennifer S is an sole proprietor health care provider with primary practice located at 2657 N Clybourn Ave , Chicago IL 60614-6862. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Cowan, Jennifer S can be contacted via phone (847) 212-8873.Contact Information
Primary practice address
2657 N Clybourn Ave
Chicago IL 60614-6862
Phone: (847) 212-8873
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 070015295 | Illinois |
Profile Details
NPI number | 1013152628 |
---|---|
LBN Legal business name | Cowan, Jennifer S |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 10th, 2008 |
Last updated | Nov 29th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013152628 | NPPES |
Illinois | Other | 1617235 | BCBS |
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