Individual
JORDAN X ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(660) 233-2157
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
125.078495
IL
2084P0800X
Psychiatry Physician
Primary
8143621
WI
2084P0804X
Child & Adolescent Psychiatry Physician
8143621
WI
Other
Enumeration date
06/07/2021
Last updated
07/11/2024
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