Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 036070452 | IL |
NPI | 1023061108 |
---|---|
Provider Name | Stephen Michael Rowley |
First Address | Lombard, IL 60148-6153 |
Second Address | Downers Grove, IL 60515-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 23/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036070452 | (05) | IL |
060015704 | RAILROAD MEDICARE (01) | |
D15672 | (02) |