Healthcare Provider Details

I. General information

NPI: 1407012735
Provider Name (Legal Business Name): ALLISON HEATHER FOSTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCHICAGO MEDICINE COMER CHILDREN'S 5841 S. MARYLAND AVENUE, MC6082
CHICAGO IL
60637
US

IV. Provider business mailing address

2927 SCOTT CRES
FLOSSMOOR IL
60422-1725
US

V. Phone/Fax

Practice location:
  • Phone: 888-820-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.122663
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: