Healthcare Provider Details

I. General information

NPI: 1447634472
Provider Name (Legal Business Name): ALLYSON D WEISS AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLYSON D DAVIS

II. Dates (important events)

Enumeration Date: 07/20/2015
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 1200
CHICAGO IL
60611-3068
US

IV. Provider business mailing address

676 N SAINT CLAIR ST STE 1200
CHICAGO IL
60611-3068
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8182
  • Fax: 312-695-4303
Mailing address:
  • Phone: 312-695-8182
  • Fax: 312-695-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147-001550
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: