DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JEREMY S BOWEN P.A.

MEDICARE: JEREMY S BOWEN P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2207988OTHERILMEDICARE GROUP NUMBER
4P00365761OTHERILRR MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CK7203OTHERILRR GROUP NUMBER
3P019009721OTHERNYBLUE CHOICE
5PA0495OTHERNYPREFERRED CARE

General Provider Information

NPI Number : 1972615920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY S BOWEN P.A.
Provider Business Mailing Address
First Line : 12860 TROXLER AVE
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-2898
Country : US
Telephone Number : 618-651-2810
Fax Number : 618-651-0077
Provider Business Practice Location Address
First Line : 12860 TROXLER AVE
Second Line :
City : HIGHLAND
State : IL
Zip : 62249-2898
Country : US
Telephone Number : 618-651-2810
Fax Number : 618-651-0077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 12/18/2023

Similar Medicare Providers

1780687640 — DR. ALEJANDRO J ALVARADO M.D.
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-651-2810
Practice Fax: 618-651-0077
1982693271 — JOSE A DIAZ M.D.
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-664-9831
Practice Fax:
1659481299 — MR. ROBERT FRANCIS SCHAEFER MD
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-651-2810
Practice Fax: 618-651-0077
1326175670 — LYNN D BILLHARTZ PA
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-651-2810
Practice Fax: 618-651-0077
1144413691 — DR. SAMBASIVAM SUTHAN M.D
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-651-2810
Practice Fax: 618-651-0077
1053504506 — DR. NANTHINI SUTHAN M.D
Practice Location Address:
12860 TROXLER AVE
HIGHLAND, IL
62249-2898
Practice Phone: 618-651-2810
Practice Fax:

Directions to “ JEREMY S BOWEN P.A.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.