Healthcare Provider Details

I. General information

NPI: 1134903479
Provider Name (Legal Business Name): KERBI LORRIN BOWMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 LAKE ST STE 605
OAK PARK IL
60301-1136
US

IV. Provider business mailing address

820 N ORLEANS ST STE 350
CHICAGO IL
60610-3145
US

V. Phone/Fax

Practice location:
  • Phone: 312-809-0298
  • Fax:
Mailing address:
  • Phone: 312-809-0298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.018952
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: