Individual
CICELY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6548 S DREXEL AVE, CHICAGO, IL 60637-4206
(708) 830-7354
Mailing address
931 S LA GRANGE RD, LA GRANGE, IL 60525-3076
(708) 830-7354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041573861
IL
163WH0200X
Home Health Registered Nurse
541674
OH
Other
Enumeration date
03/15/2025
Last updated
04/03/2025
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