Individual
SHAWN W ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,DABCO
Contact information
Practice address
825 N. CASS AVE, SUITE 104, WESTMONT, IL 60559-6401
(630) 522-4060
Mailing address
825 N. CASS AVE., SUITE 104, WESTMONT, IL 60559-6401
(630) 522-4060
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038007877
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232480
BCBS NUMBER
IL
Enumeration date
11/06/2006
Last updated
07/26/2010
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