Organization
JAMISON ALLEN DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMISON ALLEN DO (OWNER/PHYSICIAN)
(815) 748-5130
Entity
Organization
Contact information
Practice address
2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
(815) 748-5130
Mailing address
2560 HAUSER ROSS DR, SUITE 450, SYCAMORE, IL 60178-3150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001932043
BC BS
IL
Enumeration date
05/23/2006
Last updated
10/10/2008
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