| John Francis Mcgowan | |
|
3838 W 111th St Suite 105w Chicago IL 60655-4095 | |
| (773) 779-1415 | |
| (773) 779-1415 |
| Full Name | John Francis Mcgowan |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3838 W 111th St, Chicago, Illinois |
| Authorized Official Name and Position | John F Mcgowan (OWNER) |
| Authorized Official Contact | 7737791415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Francis Mcgowan 3838 W 111th St Suite 105w Chicago IL 60655-4095 Ph: (773) 779-1415 | John Francis Mcgowan 3838 W 111th St Suite 105w Chicago IL 60655-4095 Ph: (773) 779-1415 |
| NPI Number | 1922397884 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922397884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BM3174098 (Illinois) | Primary |
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