Individual provider · NPI-1

Gabrielle Allen

Registered Nurse, General Practice · Chicago, IL

NPI number1194553453
StatusActive
Last updated in NPPESJul 26, 2024

Details

NPI
1194553453
Entity type
Individual (NPI-1)
Name
Gabrielle Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 26, 2024
Certification date
Jul 26, 2024
Last updated
Jul 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice041535939ILYes

Practice location

1738 W 17th St # 2
Chicago, IL 60608-1910

Phone 347-820-4546

Mailing address

1738 W 17th St # 2
Chicago, IL 60608-1910

Phone 347-820-4546 · Fax 347-820-4546

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