John R Allen
Community Health Worker in Westmont, IL. Individual provider (NPI-1).
NPI number1417516618
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1417516618
- Entity type
- Individual (NPI-1)
- Name
- John R Allen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
428 N Cass AveWestmont, IL 60559-1502
Phone 708-937-5611
Mailing address
14860 Menard AveOak Forest, IL 60452-1127
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