NPI 1215039003

John Edwin Allen, RKT

Practitioner Kinesiotherapist Lake Villa, IL

Practice location

Address: 216 Oak Knoll Dr, Lake Villa, IL 60046-8669
Phone: (847) 356-0819

Registered specialties

Kinesiotherapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X

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Registry record

NPI: 1215039003
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2006
Record last updated: 12 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.