BRENDA FOWLER

CHICAGO, IL
NPI1760927800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IL  209015043)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041413998)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- BRENDA FOWLER CNM
966 W. 21ST STREET
CHICAGO, IL 60608
Phone number: 773-254-1400
Mailing Address
-- BRENDA FOWLER CNM
966 W 21ST ST
CHICAGO, IL 60608-4511
Phone number: 773-254-1400