person
Andre Lashawn Allen, CEO
Multi-Specialty Clinic/Center in Olympia Fields, Illinois
NPI 1528713013

Andre Lashawn Allen is a Multi-Specialty Clinic/Center based in Olympia Fields, IL and is specialized in Multi-Specialty. Andre Lashawn Allen practices in Olympia Fields, IL and has the professional credentials of CEO. The NPI Number for Andre Lashawn Allen is 1528713013 and holds a License No. (Illinois).

The current practice location address for Andre Lashawn Allen is 20280 Governors Hwy Ste 206, Olympia Fields, IL and can be reached out via phone at 708-898-0635.

Location: 20280 Governors Hwy Ste 206, Olympia Fields, IL, 60461-1068
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Provider Profile Details
NPI Number
1528713013
Provider Name
Andre Lashawn Allen
Credential
CEO
Provider Entity Type
Individual
Gender
Male
Address
20280 Governors Hwy Ste 206, Olympia Fields, IL, 60461-1068
Phone Number
708-898-0635
Fax Number
Provider Enumeration Date
02/14/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3129197649 05 IL
institution
Provider Business Practice Location Address Details
Address
20280 Governors Hwy Ste 206
City
State
Zip
60461-1068
Phone Number
708-898-0635
Fax Number
person
Provider Business Mailing Address Details
Address
20280 Governors Hwy Ste 206
City
State
Zip
60461-1068
Phone Number
708-898-0635
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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