James R Allen, M.D.
Individual provider Active NPI Surgery Physician · Morris, IL
NPI 1871536730 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1871536730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036078159 (IL)
- Practice address
- 1300 Dresden Dr
Morris, IL 60450-2476 - Phone
- (815) 942-5200
- Fax
- (815) 942-5330
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David G Vermillion M D P C | Past | Accepting new patients | |
| Iatros, M.D.,S.C. | Past | Accepting new patients | |
| James R. Allen, M.D. | Surgery | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036078159 | IL | Yes |
Addresses
Primary practice location
1300 Dresden Dr
Morris, IL 60450-2476
Mailing address
725 School St Ste a
Morris, IL 60450-1207
Phone (815) 705-5605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003200054 | Other | IL | BLUE CROSS BLUE SHIELD |
| 020442 | Other | IL | HEALTH ALLIANCE |
| 020019476 | Other | IL | RAIL ROAD MEDICARE |
| 036078159 | Medicaid | IL |
Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.