| Doctor Name: | COURTNEY COWAN |
| NPI Number: | 1255635991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209008555 |
| Business Practice Address: | 3540 Seven Bridges Drive Ste 230 Woodridge, IL - 605171222 |
| Business Phone Number: | 6309649400 |
| Business Fax Number: | 6309649375 |
| Mailing Address: | 27555 Diehl Rd, Entrance B WARRENVILLE |
| State: | IL |
| Postal Code: | 605553849 |
| Phone Number: | 6306463950 |
| Fax Number: | 6305486832 |
| NPI Enumeration Date: | 01/10/2011 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 209008555 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |