Individual provider Active NPI

Evelyn Gloria Bowman-Goone, DC

  • Chiropractor
  • Des Plaines, IL
National Provider Identifier
1861599672
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005504 Issued in IL
Practice address
1157 Lee St
Des Plaines, IL 60016-6516
Phone
(877) 542-1110
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038005504 IL Primary

Addresses

Primary practice location

1157 Lee St
Des Plaines, IL 60016-6516

Mailing address

1120 W Hawthorne St Apt F
Arlington Heights, IL 60005-1053
Phone (312) 316-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038005504ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Regenerative Medical Center Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1861599672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W HAWTHORNE ST APT F",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051053",
            "telephone_number": "312-316-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166516",
            "telephone_number": "877-542-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN-GOONE",
        "first_name": "EVELYN",
        "middle_name": "GLORIA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.