Individual
JAMISON D ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
(703) 964-8199
(815) 478-3070
Mailing address
2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
(703) 964-8199
(815) 478-3070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036098973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098973
—
IL
Enumeration date
10/25/2005
Last updated
07/14/2022
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