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

Lady Bowennesheim

Individual provider Family Nurse Practitioner · NPI 1790175826

Lady Bowennesheim is a Family Nurse Practitioner in Wauconda, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.012098 (IL)

Record details

NPI number1790175826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2015
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing addressPo Box 6037, Wauconda, IL 60084-6037

Other providers in Wauconda