Individual
KEELEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
20330 N DEER PARK BLVD STE 124, DEER PARK, IL 60010-7222
(847) 999-4059
Mailing address
2607 PORTAGE AVE, WAUCONDA, IL 60084-5025
(309) 314-1340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041347239
IL
363LF0000X
Family Nurse Practitioner
209025323
IL
363LF0000X
Family Nurse Practitioner
Primary
277005328
IL
Other
Enumeration date
04/16/2022
Last updated
03/12/2026
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