Search › Illinois › 363LA2100X
Kisha Bowen
NPI 1740155183 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1234 S 13th Ave
Maywood, IL 60153 - Phone
- (708) 670-2835
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363LG0600X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois