Provider Demographics
NPI:1093731390
Name:FILE, ALLAN E (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:E
Last Name:FILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 6002
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61803-6002
Mailing Address - Country:US
Mailing Address - Phone:217-326-8300
Mailing Address - Fax:
Practice Address - Street 1:611 W, PARK STREET
Practice Address - Street 2:WOUND HEALING CENTER
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801
Practice Address - Country:US
Practice Address - Phone:217-326-4325
Practice Address - Fax:217-383-3567
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075122207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC24823Medicare UPIN
ILIL3270163Medicare PIN
C24823Medicare UPIN
IL6447860011Medicare NSC