Individual
MR. JOHN EDWIN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
216 OAK KNOLL DR, LAKE VILLA, IL 60046-8669
(847) 356-0819
Mailing address
216 OAK KNOLL DR, LAKE VILLA, IL 60046-8669
(847) 356-0819
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
09/02/2006
Last updated
12/12/2011
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