IndividualActive
Beverly Fowler
NPI 1255853172 · Student in an Organized Health Care Education/Training Program · Chicago, IL
Provider details
- NPI number
- 1255853172
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
- License
- 46007490684F (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 46007490684F (IL)
Student, Health Care
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11624 S. May Street
Chicago, IL 60643
Phone: (773) 291-0674
Street-level locationGet directions
Mailing address
11624 S May St
Chicago, IL 60643-5133
Registry dates
- Enumerated
- 2017-07-12
- Last updated
- 2017-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.