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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQUELYN LAVETTE ALLEN, MOTR/L, CPAM

Active Sole Proprietor

MRS. JACQUELYN LAVETTE ALLEN, MOTR/L, CPAM is a Specialist healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1629300942 is currently active in the NPPES registry. Verify at CMS.

Specialist · SOUTH HOLLAND, IL

Registration Details

NPI Number
1629300942
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2010 (16.507748028217 yrs)
Last Updated
Feb 11, 2010
License
056007568 (IL)
Sole Proprietor
Yes

Practice Information

Address
17366 WAUSAU AVE
SOUTH HOLLAND, IL, 604733359
Browse IL providers · Browse ZIP 60473
Phone
7087052670
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SOUTH HOLLAND, IL

Name Credential NPI
ARLENE L GOODALL EARLYINTERVENTIONSPE 1578514568
MORGAN RUFFIN 1780982520
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.