Provider Demographics
NPI:1699052977
Name:COWANS, NANCY (CD, CLC, CBE)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:COWANS
Suffix:
Gender:F
Credentials:CD, CLC, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9405 MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60203-1221
Mailing Address - Country:US
Mailing Address - Phone:847-404-9405
Mailing Address - Fax:
Practice Address - Street 1:5500 LINCOLN AVE UNIT 308W
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3408
Practice Address - Country:US
Practice Address - Phone:847-404-9405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174N00000XOther Service ProvidersLactation Consultant, Non-RN