Whalio Doctors

NPI 1609948124

Richard M Allen, MD

Practitioner Specialist Libertyville, IL

Practice location

Address
890 Garfield Ave 200, Libertyville, IL 60048-4723
Phone
(847) 549-1818
Fax
(847) 680-1573

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 036067062 (IL)

Registry record

NPI
1609948124
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Nov 2006
Record last updated
29 Oct 2012

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.