Individual
ASHLIY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
12454 S YALE AVE, CHICAGO, IL 60628-7212
(773) 814-5863
Mailing address
12454 S YALE AVE, CHICAGO, IL 60628-7212
(773) 814-5863
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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