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NPI Code Detail

MEDICARE: KAITLYN N ALLEN PA-C

MEDICARE:   KAITLYN N ALLEN  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085011792IL

General Provider Information

NPI Number : 1376404095
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN N ALLEN PA-C
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 1310
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2923
Country : US
Telephone Number : 312-695-9627
Fax Number : 312-695-6072
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1310
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2923
Country : US
Telephone Number : 312-695-9627
Fax Number : 312-695-6072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 03/12/2026

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Directions to “ KAITLYN N ALLEN PA-C” Practice Location

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