Healthcare Provider Details

I. General information

NPI: 1316328529
Provider Name (Legal Business Name): ALLISON WOLSKI D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON WOLSKI DMD

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N 4TH ST
GENEVA IL
60134-2125
US

IV. Provider business mailing address

112 N 4TH ST
GENEVA IL
60134-2125
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-4076
  • Fax:
Mailing address:
  • Phone: 630-232-4076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number6002003-15
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019030168
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: