RICK W ALLEN C.O.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1356798896- Provider Type
- Individual Provider (NPI-1)
- Credentials
- C.O.
- Status
- Active
Contact & Location
- Address
- 5929 EAST RIVERSIDE BLVD, ROCKFORD, IL, 611144937
- Phone
- (815) 398-9491
Specialties & Taxonomies
Unknown
Primary License: IL #213000032
All Addresses
MAILING
PO BOX 735263
CHICAGO, IL, 606735263