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KEELEY ALLEN APRN FNP-C
NPI 1417690504
Nurse Practitioner - Family in Deer Park, IL

Active since April 16, 2022
20330 N DEER PARK BLVD STE 124, DEER PARK, IL 60010(847) 999-4059 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Nov 14, 2023, Apr 16, 2022 (3 updates tracked since 2022).

About Keeley Allen Aprn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEELEY ALLEN APRN FNP-C (NPI 1417690504) is an individual family provider in Deer Park, Illinois, licensed in Illinois (277005328) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1417690504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEELEY ALLENCredential: APRN FNP-C
Location Address20330 N DEER PARK BLVD STE 124Deer Park, IL 60010-7222
Mailing Address2607 Portage AveWauconda, IL 60084-5025 · (309) 314-1340
Phone(847) 999-4059
Sole ProprietorYes
Enumeration DateApril 16, 2022
Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1417690504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IL · 277005328✔ Licensed in IL · 209025323
Also ListedRegistered NurseTaxonomy 163W00000X · License 041347239 (IL)
20330 N DEER PARK BLVD STE 124, Deer Park, IL 60010
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keeley Allen's NPI number?

The NPI number for Keeley Allen is 1417690504. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Where is Keeley Allen located?

Keeley Allen practices at 20330 N Deer Park Blvd Ste 124, Deer Park, IL 60010. The listed phone number is (847) 999-4059.

What is Keeley Allen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keeley Allen was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.