Craig E Cowles, D.C.
Individual provider Active NPI Chiropractor · Cary, IL
NPI 1649337205 · NPPES record last updated Jan 6, 2012
Key facts
- NPI
- 1649337205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038006790 (IL)
- Practice address
- 711 Spring Beach Way
Cary, IL 60013-3057 - Phone
- (847) 452-4213
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038006790 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006790 | IL | Yes |
Addresses
Primary practice location
711 Spring Beach Way
Cary, IL 60013-3057
Mailing address
300 W Woodland Rd
Oakwood Hills, IL 60013-1218
Phone (847) 452-4213
Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.