Mr David Michael Bowman, | |
422 W White St, Clinton, IL 61727-2272 | |
(217) 935-9571 | |
Not Available |
Full Name | Mr David Michael Bowman |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 422 W White St, Clinton, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821324880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180003268 (Illinois) | Primary |
Entity Name | City Of Clinton |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275695470 PECOS PAC ID: 0042203127 Enrollment ID: O20040405001569 |
Mailing Address | Practice Location Address |
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Mr David Michael Bowman, 422 W White St, Clinton, IL 61727-2272 Ph: () - | Mr David Michael Bowman, 422 W White St, Clinton, IL 61727-2272 Ph: (217) 935-9571 |
Ms. Cassandra R Laskowski, MA, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Main St, Clinton, IL 61727 Phone: 217-412-9615 | |
Angela Louise Hilliard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E Main St, Lifeway Behavioral Health Services Inc, Clinton, IL 61727 Phone: 217-935-3900 | |
Dawn Marie Schierl, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 E South St, Clinton, IL 61727 Phone: 309-434-0906 | |
Mr. Cory William Baxter, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1150 Route 54 West, Clinton, IL 61727 Phone: 217-935-9496 Fax: 217-935-4508 | |
Ms. Rebecca Stanton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 State Route 54 W, Clinton, IL 61727 Phone: 217-935-9496 Fax: 217-935-4508 | |
Mr. Gregory Kirby Ingraham, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Route 54 W, Clinton, IL 61727 Phone: 217-935-9496 Fax: 217-935-4508 |