Individual
ALLISON CATHERINE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
810 HARVEST DR, LAKE ZURICH, IL 60047-2808
(224) 622-9756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOF847370860
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/27/2023
Last updated
01/27/2023
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