Shawn W Allen, DC,DABCO
Individual provider Active NPI Orthopedic Chiropractor · Westmont, IL
NPI 1871662015 · NPPES record last updated Jul 26, 2010
Key facts
- NPI
- 1871662015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 038007877 (IL)
- Practice address
- 825 N. Cass Ave
Suite 104
Westmont, IL 60559-6401 - Phone
- (630) 522-4060
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038007877 | IL | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates SC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 038007877 | IL | Yes |
Addresses
Primary practice location
825 N. Cass Ave
Suite 104
Westmont, IL 60559-6401
Mailing address
825 N. Cass Ave.
Suite 104
Westmont, IL 60559-6401
Phone (630) 522-4060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232480 | Other | IL | BCBS NUMBER |
Other providers in Westmont, IL
- Anna G Allen
- Danielle Allen
- John R Allen
- Magic M. Allen
- Miriam R. Allen
- Nicole Ruth Allgood
- Allied Chiropractic Physicians, P.C.
- Krystal Almazan
- Omar Alramli
- Alternative Home Care, LTD.
All providers in Westmont, IL · Orthopedic Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. 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.