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NPI 1073555215

NPI 1073555215 : DAVID FLOYD BOWERS D.P.M. : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1073555215
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID FLOYD BOWERS D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4952 W IRVING PARK RD 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60641-2640
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    Country              |    US
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    Telephone            |    773-685-8400
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    Fax                  |    773-685-4141
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Provider Business Mailing Address
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    Address Line         |    PO BOX 207 
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    City                 |    FOX LAKE
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    State                |    IL
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    Zip                  |    60020-0207
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    Country              |    US
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    Telephone            |    773-685-8400
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    Fax                  |    773-685-4141
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    IL
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