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Individual

DR. MEGAN SUZANNE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 225-6200
(312) 949-7660
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-3849
(312) 225-6200
(312) 949-7660

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009951
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046009951
IL
01
047935428
OPTOMETRIST LIC. FOR CHICAGO RIDGE LOCATION ESC
IL
05
047935428
IL
01
047935429
OPTOMETRIST LIC. FOR ORLAND PARK LOCATION ESC
IL
05
047935429
IL
01
1083684922
NPI GROUP THE EYE SPECIALIST CENTER
IL
01
1699802421
OPTICAL NPI THE EYE SPECIALIST CENTER
IL
01
205785
PTAN IL MEDICARE COOK COUNTY
IL
01
207W00000X
OPHTHALMOLOGY TAXONOMY
IL
Enumeration date
07/13/2007
Last updated
01/20/2012
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