Individual
DR. JILL LYNETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
900 PYOTT RD, 102, CRYSTAL LAKE, IL 60014-8716
(815) 444-9076
Mailing address
1497 SHIRE CIR, INVERNESS, IL 60067-4772
(815) 444-9076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005431
IL
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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