Jacquelyn Lavette Allen, MOTR/L, CPAM
NPI 1629300942ActiveIndividual· Specialist· South Holland, IL
Specialist (MOTR/L, CPAM) in South Holland, Illinois, licensed in IL, with an NPI issued in February 2010.
Overview
| NPI | 1629300942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MOTR/L, CPAM |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2010 |
| Last updated in NPPES | Feb 11, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 056007568 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in South Holland
- 1578514568
- 1780982520