BEVERLY FOWLER NPI 1255853172

NPI Information

  • NPI: 1255853172
  • Provider Name: BEVERLY FOWLER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 11624 S. MAY STREET
    CHICAGO, IL
    ZIP 60643
  • Phone: (773) 291-0674

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NPI Details

Beverly Fowler is a student in an organized health care education training program in Chicago, IL. The provider is 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. Beverly Fowler NPI is 1255853172. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11624 S. MAY STREET
CHICAGO, IL
ZIP 60643
Phone: (773) 291-0674

The enumeration date for this NPI number is 7/12/2017 and was last updated on 7/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer46007490684FILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training Program46007490684FILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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