IndividualActive
Jon Allen
NPI 1013467430 · Student in an Organized Health Care Education/Training Program · Fairview, IL
Provider details
- NPI number
- 1013467430
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
905 Carter St
Fairview, IL 61432-5036
Phone: (309) 678-0449
Approximate (ZIP-level) locationGet directions
Mailing address
905 Carter St
Fairview, IL 61432-5036
Registry dates
- Enumerated
- 2016-10-10
- Last updated
- 2016-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.