Individual
MAGIC M. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
700 E OGDEN AVE STE 202, WESTMONT, IL 60559-1398
(630) 789-9785
(630) 789-9798
Mailing address
700 E OGDEN AVE STE 202, WESTMONT, IL 60559-1398
(630) 789-9785
(630) 789-9798
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209015500
IL
Other
Enumeration date
01/25/2017
Last updated
11/21/2018
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