Allen, Douglas L.

Allen, Douglas L. is an individual health care provider with primary practice located at 226 W Ontario St Ste 400C , Chicago IL 60654-3619. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Allen, Douglas L. can be contacted via phone (312) 912-7008.

Contact Information

Primary practice address
226 W Ontario St Ste 400C Chicago IL 60654-3619
Phone: (312) 912-7008
Fax: (312) 533-2842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21082 Illinois

Profile Details

NPI number 1134423742
LBN Legal business name Allen, Douglas L.
Credentials MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2010
Last updated Apr 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134423742 NPPES
Illinois MEDICAID 7512-0001

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