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Contact Information

CHARLES T ALLEN, DPM
5700 S KEDZIE AVE
CHICAGO, IL60629-2408
 Phone: 773-925-5700
 Fax: 773-925-5775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHARLES T ALLEN · (Male)

NPI # 1144345364
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 03/20/2007
Last updated 12/09/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016004865
  • IL Other 01638903 BLUE CROSS BLUE SHIELD
  • IL Other 60010797 BLUE CROSS BLUE SHIELD
  • IL Other N396441 HARMONY HEALTH
  • IL Other 480026190 RAILROAD MEDICARE
  • IL Other P00712946 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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