Organization
JAMES R. ALLEN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M. SMITH (BILLER/CODER)
(815) 942-5200
Entity
Organization
Contact information
Practice address
1300 DRESDEN DR, MORRIS, IL 60450-2476
(815) 942-5200
(815) 942-5330
Mailing address
1300 DRESDEN DR, MORRIS, IL 60450-2476
(815) 942-5200
(815) 942-5330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036078159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003200054
BLUE CROSS BLUE SHIELD
IL
01
—
020019476
RAIL ROAD MEDICARE
IL
01
—
020442
HEALTH ALLIANCE
IL
05
—
036078159
—
IL
Enumeration date
06/05/2006
Last updated
09/18/2008
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