Active NPI
Jamison Allen DO LLC
- Internal Medicine Physician
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JAMISON ALLEN DO LLC
- Practice address
- 2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150 - Phone
- (815) 748-5130
- NPI assigned
- May 23, 2006
- Last updated
- Oct 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamison Allen, DO
- Title
- Owner/Physician
- Phone
- (815) 748-5130
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150
Mailing address
2560 Hauser Ross Dr
Suite 450
Sycamore, IL 60178-3150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001932043 | Other | IL | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 N Highland Ave
Ste 10
Aurora, IL 60506
Phone (630) 892-7629
2111 Midlands Ct
Ste 203
Sycamore, IL 60178
Phone (815) 748-3040
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Sycamore, IL
- NPI 1184614760
-
- Family Nurse Practitioner
- Sycamore, IL
- NPI 1366932139
-
- Family Nurse Practitioner
- Sycamore, IL
- NPI 1356109490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223596800000",
"number": "1659326049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 HAUSER ROSS DR",
"address_2": "SUITE 450",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 HAUSER ROSS DR",
"address_2": "SUITE 450",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783150",
"telephone_number": "815-748-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMISON ALLEN DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2008-10-10",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JAMISON",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "815-748-5130",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0001932043",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.