John Francis McGowan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

BM3174098 Issued in IL

Legal business name

JOHN FRANCIS MCGOWAN

Practice address

3838 W 111TH St
Suite 105W
Chicago, IL 60655-4095

Phone

(773) 779-1415

Fax

(773) 779-1415

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

John F McGowan, DDS

Title

Owner

Phone

(773) 779-1415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1922397884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUITE 105W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-779-1415",
            "fax_number": "773-779-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 W 111TH ST",
            "address_2": "SUITE 105W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606554095",
            "telephone_number": "773-779-1415",
            "fax_number": "773-779-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN FRANCIS MCGOWAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-779-1415",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "BM3174098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.