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. You can also correspond with Andre Lashawn Allen through the mailing address at 20280 GOVERNORS HWY STE 206, OLYMPIA FIELDS, IL - 60461-1068 (mailing address contact number: 708-898-0635).

Location: 20280 Governors Hwy Ste 206, Olympia Fields, IL, 60461-1068
person
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.
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Definition
Definition to come...
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