Organization
TOM ALLEN MD SC
Active
Organization
TOM ALLEN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM ALLEN MD (PRESIDENT)
(312) 218-9316
Entity
Organization
Contact information
Practice address
333 N MICHIGAN AVE STE 1114, CHICAGO, IL 60601-4001
(312) 578-0468
(312) 578-0506
Mailing address
431 W OAKDALE AVE, 8C, CHICAGO, IL 60657-5959
(312) 218-9316
(312) 578-0506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036111400
IL
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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