| Doctor Name: | KRISTINE MICHELLE BOWEN |
| NPI Number: | 1396040820 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 146009791 |
| Business Practice Address: | 11411 W 183rd St Orland Park, IL - 604679450 |
| Business Phone Number: | 7084781820 |
| Business Fax Number: | 7084781331 |
| Mailing Address: | 9712 S 51st Ave, OAK LAWN |
| State: | IL |
| Postal Code: | 604533051 |
| Phone Number: | 7084781820 |
| Fax Number: | 7084783316 |
| NPI Enumeration Date: | 01/13/2011 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146009791 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |