Individual
DR. KENNETH J. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1440 S WABASH AVE, UNIT 101, CHICAGO, IL 60605-2897
(773) 406-3347
Mailing address
1440 S WABASH AVE, UNIT 101, CHICAGO, IL 60605-2897
(773) 406-3347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.027497
IL
Other
Enumeration date
09/12/2007
Last updated
06/20/2012
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