Healthcare Provider Details

I. General information

NPI: 1942115845
Provider Name (Legal Business Name): ALLISON LEA MASSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W CHESTNUT ST STE 2A
HINSDALE IL
60521-3173
US

IV. Provider business mailing address

5424 MAPLEWOOD PL
DOWNERS GROVE IL
60515-4814
US

V. Phone/Fax

Practice location:
  • Phone: 773-217-9117
  • Fax:
Mailing address:
  • Phone: 563-370-1894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: