Healthcare Provider Details

I. General information

NPI: 1629530019
Provider Name (Legal Business Name): ALLISON MARIE CRONE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 800
CHICAGO IL
60611-2978
US

IV. Provider business mailing address

1633 N CAPITOL AVE STE 640
INDIANAPOLIS IN
46202-1281
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-4068
  • Fax: 312-695-5645
Mailing address:
  • Phone: 317-962-8881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036169306
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01096099A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: