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Individual

ANNE C ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 BIESTERFIELD RD STE 310, ELK GROVE VILLAGE, IL 60007-7324
(847) 952-9332
(847) 952-9338
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001963
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IL8312003
MEDICARE
IL
Enumeration date
03/19/2007
Last updated
01/26/2023
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