DR. SANDRA RENEE MCGOWAN (NPI# 1568481232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568481232 |
| Entity Type | Individual |
| Full Name | DR. SANDRA RENEE MCGOWAN |
| Credential | M.D. |
| Practice Address |
19710 Governors Hwy Ste 2 Flossmoor IL 60422-2081 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 7084809730 |
| Practice Fax Number | 8775227815 |
| Mailing Telephone | 3175284800 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-112129 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 West 162nd Street, South Holland, IL 60473 | 7087302200 |
| Street Address |
19710 GOVERNORS HWY STE 2 |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063885 | R.a. Berquist, D.d.s., P.C. | Dentist | 19710 Governors Hwy, Suite #4, Flossmoor, IL 60422-2080 | 2011-03-10 |
| 1811165046 | All Smiles Orthodontics, Inc | Dentist | 19710 Governors Hwy, Suite 10, Flossmoor, IL 60422-2080 | 2008-02-11 |
| 1346464922 | Frank M. Lani | Psychologist | 19710 Governors Hwy, Suite 9, Flossmoor, IL 60422-2080 | 2007-04-13 |
| 1295877827 | Rodger Carl Lerohl | Dentist | 19710 Governors Hwy, Flossmoor, IL 60422-2080 | 2007-02-12 |
| 1831250034 | Robert Allen Berquist | Dentist | 19710 Governors Hwy, Flossmoor, IL 60422 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326517632 | Mcgowan Family Health & Wellness Center P.C. | Family Medicine | 19710 Governors Hwy Ste 2, Flossmoor, IL 60422-2081 | 2018-11-15 |
| 1528194131 | Shelanda Charise Hayes | Family Medicine | 19150 Kedzie Ave, Suite 207, Flossmoor, IL 60422 | 2007-02-26 |
| 1306845011 | Geoffrey O Caplea | Family Medicine | 19624 Governors Hwy, Suite 9, Flossmoor, IL 60422-2077 | 2005-07-15 |
| 1366836132 | Flossmoor Family Care, S.c. | Family Medicine | 19150 Kedzie Ave, Suite 207, Flossmoor, IL 60422 | 2015-03-19 |
| 1871889329 | Amit D Patel | Family Medicine | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2125 | 2011-06-23 |
| 1841437936 | Dwayne Bernard Buchanan | Family Medicine | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2125 | 2009-01-13 |
| 1881877520 | Angelo Tsakopoulos Md Sc | Family Medicine | 19550 Governors Hwy, Suite 2700, Flossmoor, IL 60422-2125 | 2007-12-17 |
| 1104980978 | Andrea Lindley Caplea | Family Medicine | 19624 Governors Hwy, Suite 9, Flossmoor, IL 60422-2077 | 2006-12-19 |
| 1992884241 | Zahrain Rahshee St. Jean | Family Medicine | 19550 Governors Hwy Ste 2000, Flossmoor, IL 60422-2142 | 2006-11-06 |
| 1467553743 | Cressa Perish Md Sc | Family Medicine | 19550 Governors Hwy, Suite 2650, Flossmoor, IL 60422-2125 | 2006-09-26 |
| Find all providers in FLOSSMOOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.