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General NPI Number Information
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NPI Number | 1326517632
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Entity Type | Organization
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Legal Business Name | MCGOWAN FAMILY HEALTH & WELLNESS CENTER P.C.
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 222 VOLLMER RD STE 2A
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-1892
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Country | US
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Telephone | 708-480-9730
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Fax | 877-522-7815
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Provider Business Mailing Address
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Address Line | 222 VOLLMER RD STE 2A
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-1892
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Country | US
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Telephone | 708-480-9730
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Fax | 877-522-7815
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDRA R MCGOWAN
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Credential | MD
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Telephone | 773-791-5676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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