| Jamison Allen Do Llc | |
|
2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 | |
| (815) 748-5130 | |
| Not Available |
| Full Name | Jamison Allen Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2560 Hauser Ross Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Jamison Allen (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8157485130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamison Allen Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: () - | Jamison Allen Do Llc 2560 Hauser Ross Dr Suite 450 Sycamore IL 60178-3150 Ph: (815) 748-5130 |
| NPI Number | 1659326049 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/10/2008 |
| Medicare PECOS PAC ID | 0345294831 |
|---|---|
| Medicare Enrollment ID | O20050308000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659326049 | NPI | - | NPPES |
| 0001932043 | Other | IL | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jamison Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184614760 PECOS PAC ID: 5698729184 Enrollment ID: I20050308000910 |
| Provider Name | Megan Jean Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366932139 PECOS PAC ID: 4082961511 Enrollment ID: I20180716001053 |
| Provider Name | Brianna Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367167 PECOS PAC ID: 0840684429 Enrollment ID: I20220224001112 |
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