Individual
MRS. KATHLEEN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
822 S MILL ST, MOUNT CARROLL, IL 61053-1243
(815) 244-8855
Mailing address
822 S MILL ST, MOUNT CARROLL, IL 61053-1243
(815) 244-8855
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
041412977
IL
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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