Allen, Jillene

Allen, Jillene is an individual health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Allen, Jillene can be contacted via phone (312) 569-5750.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-5750
Fax: (773) 826-2793
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37245 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.024926 Illinois

Profile Details

NPI number 1841708864
LBN Legal business name Allen, Jillene
Credentials CADC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841708864 NPPES
Illinois MEDICAID 1841708864

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