SearchIllinoisDriver

Richard Allen

NPI 1346804986 · on the registry since 2019 · sole proprietor

Practice

Address
38025 N Academy Dr
Lake Villa, IL 60046
Phone
(847) 393-5030

Additional practice sites

  • 2055 Johns Dr, Glenview, IL

Registry record

Primary taxonomy
Driver
172A00000X
Also registered as
Driver
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-29

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