Provider Demographics
NPI:1356750830
Name:ALLANAH, UCHE FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:UCHE
Middle Name:FRANCES
Last Name:ALLANAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:F
Other - Last Name:ALLANAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3922 WILD FLOWER DR
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-2028
Mailing Address - Country:US
Mailing Address - Phone:312-608-4014
Mailing Address - Fax:
Practice Address - Street 1:707 N LOGAN AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4360
Practice Address - Country:US
Practice Address - Phone:217-477-4724
Practice Address - Fax:217-477-4749
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036141895207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine