RICHARD ALLEN

LAKE VILLA, IL
NPI1346804986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
Additional Taxonomies172A00000X Driver
Enumeration Date2019-04-29
Last Update Date2019-04-29
Business Address
RICHARD ALLEN
38025 N ACADEMY DR
LAKE VILLA, IL 60046-9731
Phone number: 847-393-5030
Mailing Address
RICHARD ALLEN
38025 N ACADEMY DR
LAKE VILLA, IL 60046-9731
Phone number: 847-393-5030