Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kisha L Bowen

Individual provider Nurse Practitioner · NPI 1740155183

Kisha L Bowen is a Nurse Practitioner in Maywood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

1234 S 13th Ave
Maywood, IL 60153-1830
Phone: (708) 670-2835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.032790 (IL)

Record details

NPI number1740155183
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2025
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025
Mailing address1234 S 13th Ave, Maywood, IL 60153-1830

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