| Lady Bowennesheim, | |
|
431 W Liberty St, Wauconda, IL 60084-2452 | |
| (847) 526-2151 | |
| Not Available |
| Full Name | Lady Bowennesheim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 431 W Liberty St, Wauconda, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790175826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.012098 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lady Bowennesheim, Po Box 6037, Wauconda, IL 60084-6037 Ph: (847) 526-2151 | Lady Bowennesheim, 431 W Liberty St, Wauconda, IL 60084-2452 Ph: (847) 526-2151 |
Kristine M Redmond, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Ileana A Schropp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Mrs. Karen Anne Fermin Violago, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Tabitha Gardner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Corrie Mcmahon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Michelle Delich, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Rebecca Lambo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 |