Provider Demographics
NPI:1265705479
Name:ROWELL, JOSH THOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:THOMAS
Last Name:ROWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W JACKSON BLVD
Mailing Address - Street 2:SUITE 1160
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3589
Mailing Address - Country:US
Mailing Address - Phone:312-583-0061
Mailing Address - Fax:312-583-0063
Practice Address - Street 1:111 W JACKSON BLVD
Practice Address - Street 2:SUITE 1160
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3589
Practice Address - Country:US
Practice Address - Phone:312-583-0061
Practice Address - Fax:312-583-0063
Is Sole Proprietor?:No
Enumeration Date:2012-02-18
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor