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Contact Information

WILLIAM J BOWEN, MD
707 N LOGAN AVE
DANVILLE, IL61832-4360
 Phone: 217-477-4734
 Fax: 217-477-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WILLIAM J BOWEN · (Male)

NPI # 1225019508
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2005
Last updated 01/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 0361424380
  • IL Medicaid 036124380
  • IN Medicaid 100172120
  • Other 172712 HEALTH ALLIANCE
  • IN Other 230940C MEDICARE ID
Hospital affiliation(s)
  • PROVENA UNITED SAMARITANS MEDCTR-LOGAN - (Acute Care)
    812 N LOGAN
    DANVILLE, IL 61832
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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