Individual
KATHRYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3348 W 87TH ST, CHICAGO, IL 60652-3767
(773) 776-4471
(773) 564-3510
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085006668
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153205
BOARD CERTIFICATION
IL
Enumeration date
07/24/2018
Last updated
06/05/2025
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