Individual provider · Type 1 NPI

Beverly Fowler

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1255853172 Active

Practice location

11624 S. May Street
Chicago, IL 60643

Call (773) 291-0674 Map

Mailing address

11624 S May St
Chicago, IL 60643-5133

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X46007490684F (IL)
Student in an Organized Health Care Education/Training Program Primary 390200000X46007490684F (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other student in an organized health care education/training program providers in Chicago

See all in Chicago →

About NPI 1255853172

Beverly Fowler's National Provider Identifier is 1255853172, issued on Jul 12, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jul 12, 2017.