LADY BOWENNESHEIM
NPI 1790175826
Nurse Practitioner - Family in Wauconda, IL

Active since January 27, 2015
431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lady Bowennesheim NPPES

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

LADY BOWENNESHEIM (NPI 1790175826) is an individual family provider in Wauconda, Illinois, licensed in Illinois (209.012098) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1790175826
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLADY BOWENNESHEIM
Location Address431 W LIBERTY STWauconda, IL 60084-2452
Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017
Sole ProprietorYes
Enumeration DateJanuary 27, 2015
Last NPPES UpdateDecember 9, 2019
NPI 1790175826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.012098
431 W LIBERTY ST, Wauconda, IL 60084

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner
431 W LIBERTY ST
WAUCONDA, IL 60084
Nurse Practitioner (Family)
431 W LIBERTY ST
WAUCONDA, IL 60084

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 Lady Bowennesheim's NPI number?

The NPI number for Lady Bowennesheim is 1790175826. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Lady Bowennesheim located?

Lady Bowennesheim practices at 431 W Liberty St, Wauconda, IL 60084. The listed phone number is (847) 526-2151.

What is Lady Bowennesheim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lady Bowennesheim was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.