Cowan, Jeremy

Cowan, Jeremy is an individual health care provider with primary practice located at 8751 S Greenwood Ave #108, Chicago IL 60619-7051. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cowan, Jeremy can be contacted via phone (773) 978-3338.

Contact Information

Primary practice address
8751 S Greenwood Ave #108 Chicago IL 60619-7051
Phone: (773) 978-3338
Fax: (773) 978-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016004924 Illinois

Profile Details

NPI number 1548202716
LBN Legal business name Cowan, Jeremy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 3rd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548202716 NPPES
Illinois Other 1633823 BCBS
Illinois Other P00072953 BCBS
Illinois Other 601015700 BCBS

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