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Individual

ALLISON MCLENNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424
Mailing address
909 E PALATINE RD, PALATINE, IL 60074-5551
(847) 776-1400
(847) 776-1424

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041326165
IL
363L00000X
Nurse Practitioner
Primary
209012246
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209-012246
ILLINOIS ADVANCE PRACTICE NURSE LICENSE NUMBER
IL
Enumeration date
03/25/2015
Last updated
03/25/2015
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