Individual
DR. VIRGINIA THERESE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1S224 SUMMIT AVE, SUITE 106, OAKBROOK TERRACE, IL 60181-3983
(630) 953-1190
(630) 953-1102
Mailing address
1S224 SUMMIT AVE, SUITE 106, OAKBROOK TERRACE, IL 60181-3983
(630) 953-1190
(630) 953-1102
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36-084775
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962897629
GROUP NPI
—
01
—
2210832
BCBS ID
—
01
—
593780
MEDICARE GROUP
IL
Enumeration date
10/19/2006
Last updated
02/09/2024
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