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NPI Code Detail

MEDICARE: JAMES R. ALLEN, M.D.

MEDICARE: JAMES R. ALLEN, M.D.
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
1208600000XSurgery Physician036078159IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2020019476OTHERILRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020442OTHERILHEALTH ALLIANCE
30003200054OTHERILBLUE CROSS BLUE SHIELD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831138247
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES R. ALLEN, M.D.
Provider Business Mailing Address
First Line : 1300 DRESDEN DR
Second Line :
City : MORRIS
State : IL
Zip : 60450-2476
Country : US
Telephone Number : 815-942-5200
Fax Number : 815-942-5330
Provider Business Practice Location Address
First Line : 1300 DRESDEN DR
Second Line :
City : MORRIS
State : IL
Zip : 60450-2476
Country : US
Telephone Number : 815-942-5200
Fax Number : 815-942-5330
Authorized Official
Title or Position : BILLER/CODER
Name : MARY M. SMITH
Credential :
Telephone Number : 815-942-5200
Provider Enumeration Date : 06/05/2006
Last Update Date : 09/18/2008

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