Beverly Fowler
Beverly Fowler is an Athletic Trainer in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
11624 S May StChicago, IL 60643
Phone: (773) 291-0674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 46007490684F (IL) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 46007490684F (IL) |
Record details
| NPI number | 1255853172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 12, 2017 |
| Last updated in NPPES | July 12, 2017 |
| Mailing address | 11624 S May St, Chicago, IL 60643-5133 |
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