Individual
ANDREW R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Mailing address
1040 COLUMBIA DR NE, ALBUQUERQUE, NM 87106-2627
(908) 239-4299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.006449
IL
363A00000X
Physician Assistant
PA.0006234
CO
363A00000X
Physician Assistant
Primary
PA2020-0090
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27772721
—
NM
Enumeration date
11/27/2017
Last updated
07/30/2025
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