Individual
JOHN R ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 N CASS AVE, WESTMONT, IL 60559-1502
(708) 937-5611
Mailing address
14860 MENARD AVE, OAK FOREST, IL 60452-1127
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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