Organization
OTIS ALLEN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET A. ALLEN (OFFICE MANAGER)
(309) 827-3881
Entity
Organization
Contact information
Practice address
1215 HOLIDAY DR, BLOOMINGTON, IL 61704-2214
(309) 827-3881
(309) 661-0234
Mailing address
1215 HOLIDAY DR, BLOOMINGTON, IL 61704-2214
(309) 827-3881
(309) 661-0234
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036064804
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064804
—
IL
Enumeration date
12/13/2011
Last updated
12/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us