person
Charles T Allen, DPM
Foot & Ankle Surgery Podiatrist in Chicago, Illinois
NPI 1144345364

Charles T Allen is a Foot & Ankle Surgery Podiatrist based in Chicago, IL and is specialized in Foot & Ankle Surgery. Charles T Allen practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Charles T Allen is 1144345364 and holds a License No. 016004865 (Illinois).

The current practice location address for Charles T Allen is 5700 S Kedzie Ave, Chicago, IL and can be reached out via phone at 773-925-5700 and via fax at 773-925-5775.

Location: 5700 S Kedzie Ave, Chicago, IL, 60629-2408
person
Provider Profile Details
NPI Number
1144345364
Provider Name
Charles T Allen
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
5700 S Kedzie Ave, Chicago, IL, 60629-2408
Phone Number
773-925-5700
Fax Number
773-925-5775
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60010797 01 IL BLUE CROSS BLUE SHIELD
N396441 01 IL HARMONY HEALTH
01638903 01 IL BLUE CROSS BLUE SHIELD
480026190 01 IL RAILROAD MEDICARE
P00712946 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
5700 S Kedzie Ave
City
State
Zip
60629-2408
Phone Number
773-925-5700
Fax Number
773-925-5775
person
Provider Business Mailing Address Details
Address
5700 S Kedzie Ave
City
State
Zip
60629-2408
Phone Number
773-925-5700
Fax Number
773-925-5775
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004865 (Illinois)
Definition
Definition to come...
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