SearchIllinois174400000X

Jacquelyn Allen, MOTR/L, CPAM

NPI 1629300942 · on the registry since 2010 · sole proprietor

Practice

Address
17366 Wausau Ave
South Holland, IL 60473
Phone
(708) 705-2670

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-02-11

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