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Organization
JOHN WILLIAM ALLEN, PSY.D. P.C.
Active
Organization
JOHN WILLIAM ALLEN, PSY.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM ALLEN PSY.D. (CLINICAL PSYCHOLOGIST)
(773) 478-2982
Entity
Organization
Contact information
Practice address
4055 W PETERSON AVE, STE. 201, CHICAGO, IL 60646-6182
(773) 478-2982
(773) 478-8105
Mailing address
4055 W PETERSON AVE, STE. 201, CHICAGO, IL 60646-6182
(773) 478-2982
(773) 478-8105
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
071-007404
IL
305R00000X
Preferred Provider Organization
Primary
071-007404
IL
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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