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Otis Allen, M.D
NPI 1306847900 · on the registry since 2005
Practice
- Address
- 1215 Holiday Dr
Bloomington, IL 61704 - Phone
- (309) 827-3881
- Fax
- (309) 661-0234
- Organisation at this address
- Otis Allen Md Sc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-17
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