Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jacquelyn Lavette Allen, MOTR/L, CPAM

Individual provider Specialist · NPI 1629300942

Mrs. Jacquelyn Lavette Allen, MOTR/L, CPAM is a Specialist in South Holland, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

17366 Wausau Ave
South Holland, IL 60473-3359
Phone: (708) 705-2670
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 056007568 (IL)

Record details

NPI number1629300942
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L , CPAM
Sole proprietorYes
NPI enumeratedFebruary 11, 2010
Last updated in NPPESFebruary 11, 2010

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