Bowersox, Kristine

Bowersox, Kristine is an individual health care provider with primary practice located at 1775 Dempster St Ste E592C , Park Ridge IL 60068-1143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bowersox, Kristine can be contacted via phone (312) 609-0300.

Contact Information

Primary practice address
1775 Dempster St Ste E592C Park Ridge IL 60068-1143
Phone: (312) 609-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8884 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004671 Illinois

Profile Details

NPI number 1992139281
LBN Legal business name Bowersox, Kristine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2013
Last updated Apr 16th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992139281 NPPES
Wisconsin MEDICAID 100410618

Popular Providers