Kelly Blanche Allen, NURSE PRACTITIONER
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Palos Heights, IL
NPI 1316635220 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1316635220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209027148 (IL)
- Practice address
- 7300 W College Dr Ste 102
Palos Heights, IL 60463-1181 - Phone
- (708) 840-3733
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yusuf Salah LLC
Practice addresses (Care Compare)
7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416001764 | IL | Practitioner - Nurse Practitioner | 3971028598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209027148 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yusuf Salah LLC | Family | Current |
Accepting new patients |
| Palos Psychiatric & Recovery Inst LTD | Past | Accepting new patients |
Locations
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
6321 Dempster St
Morton Grove, IL 60053
7300 W College Dr
Ste 102
Palos Heights, IL 60463
Phone (312) 659-9698
7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209027148 | IL | Yes |
Addresses
Primary practice location
7300 W College Dr Ste 102
Palos Heights, IL 60463-1181
Mailing address
1427 Champlain St
Ottawa, IL 61350-2403
Phone (219) 921-6844
Other providers in Palos Heights, IL
- Omsiah Alghadban
- Chaher Hussain Alhandalous
- Abid Ali
- Ala Alia
- Zoe Alikakos
- Allergy & Clinical Immunology Inc
- Akram Almasri
- Hussam Almasri
- Alpha Med Physicians Group LLC
- Alpha Med Physicians Group, LLC
All providers in Palos Heights, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.