person
Lady Bowennesheim
Family Nurse Practitioner in Wauconda, Illinois
NPI 1790175826

Lady Bowennesheim is a Family Nurse Practitioner based in Wauconda, IL and is specialized in Family. Lady Bowennesheim practices in Wauconda, IL. The NPI Number for Lady Bowennesheim is 1790175826 and holds a License No. 209.012098 (Illinois).

The current practice location address for Lady Bowennesheim is 431 W Liberty St, Wauconda, IL and can be reached out via phone at 847-526-2151. You can also correspond with Lady Bowennesheim through the mailing address at PO BOX 6037, WAUCONDA, IL - 60084-6037 (mailing address contact number: 847-526-2151).

Location: 431 W Liberty St, Wauconda, IL, 60084-6037
person
Provider Profile Details
NPI Number
1790175826
Provider Name
Lady Bowennesheim
Credential
Provider Entity Type
Individual
Gender
Female
Address
431 W Liberty St, Wauconda, IL, 60084-6037
Phone Number
847-526-2151
Fax Number
Provider Enumeration Date
01/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
431 W Liberty St
City
State
Zip
60084-2452
Phone Number
847-526-2151
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 6037
City
State
Zip
60084-6037
Phone Number
847-526-2151
Fax Number
847-526-2017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209.012098 (Illinois)
Definition
Definition to come...
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