SearchIllinois224P00000X

Tanyale Allen

NPI 1063041036 · on the registry since 2020 · sole proprietor

Practice

Address
1016 E 156th Pl
Dolton, IL 60419
Phone
(708) 541-0163

Registry record

Primary taxonomy
224P00000X
224P00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois