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BEVERLY FOWLER
NPI 1255853172
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since July 12, 2017
11624 S. MAY STREET, CHICAGO, IL 60643(773) 291-0674 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Fowler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEVERLY FOWLER (NPI 1255853172) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (46007490684F) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1255853172
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBEVERLY FOWLER
Location Address11624 S. MAY STREETChicago, IL 60643
Mailing Address11624 S May StChicago, IL 60643-5133
Phone(773) 291-0674
Sole ProprietorYes
Enumeration DateJuly 12, 2017
✔ NPI 1255853172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 46007490684F
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 46007490684F (IL)
11624 S. MAY STREET, Chicago, IL 60643
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beverly Fowler's NPI number?

The NPI number for Beverly Fowler is 1255853172. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Beverly Fowler located?

Beverly Fowler practices at 11624 S. May Street, Chicago, IL 60643. The listed phone number is (773) 291-0674.

What is Beverly Fowler's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Beverly Fowler was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.