Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | IL |
NPI | 1649290925 |
---|---|
Provider Name | Dr. Eileen Marie Allen |
First Address | Lisle, IL 60532-2288 |
Second Address | Arlington Heights, IL 60005-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F46344 | (02) |