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Active NPI 1528713013 Individual Practitioner Male Practitioner

Andre Lashawn Allen , CEO

Clinic/Center - Multi-Specialty • Olympia Fields, IL

Professional Overview & Biography Verified Profile Summary

Andre Allen, CEO is a registered healthcare professional specializing in Clinic/Center - Multi-Specialty in Olympia Fields, IL. Practice services are available at 20280 GOVERNORS HWY STE 206 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20280 Governors Hwy Ste 206

Olympia Fields, IL 604611068

Telephone 7088980635
Associated Practice Facility / Clinic
🏢 Bridging Lyfe Pllc Facility NPI 1528781135

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinic/Center - Multi-Specialty in Olympia Fields, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Olympia Fields, IL (3 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-14
Clinic/Center - Multi-Specialty Primary Specialty

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3129197649 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Karlos Lloyd

Social Worker

NPI 1942181508

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2022

Registered at 20280 GOVERNORS HWY STE 206, OLYMPIA FIELDS, IL 604611068 (Tel: 7088980635)

📍
Updated Business Mailing Address February 14, 2022

Registered at 20280 GOVERNORS HWY STE 206, OLYMPIA FIELDS, IL 604611068 (Tel: 7088980635)

👤
Provider Name / Credentials Updated February 14, 2022

Recorded as ANDRE ALLEN, CEO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2022

Clinic/Center

🟢
Initial NPI Registration & Enumeration February 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528713013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2022
Last Update: February 14, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

20280 Governors Hwy Ste 206

Olympia Fields, IL 604611068

Phone: 7088980635

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.