Dr. Samuel Brooks Allen
Orthodontists
6800 Main St., Third Floor
Downers Grove
, Illinois 60516
Dr. Samuel Brooks Allen
Orthodontists
6800 Main St., Third Floor
Downers Grove
, Illinois 60516
(630) 969-4692
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Samuel Brooks Allen
- 6800 Main St., Third Floor
- Downers Grove, IL
- Zip : 60516
- Fax : (630) 969-4692
- Phone : (630) 969-5350
Second Address
- Dr. Samuel Brooks Allen
- 6800 Main St., Third Floor
- Downers Grove, IL
- Zip : 60516
- Fax : (630) 969-4692
- Phone : (630) 969-5350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 19030584 | IL |
National Provider Identifier
| NPI | 1033567359 |
|---|---|
| Provider Name | Dr. Samuel Brooks Allen |
| First Address | Downers Grove, IL 60516 |
| Second Address | Downers Grove, IL 60516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2016 |
| Last Update Date | 26/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 19030584 | LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.