Healthcare Provider Details

I. General information

NPI: 1689058976
Provider Name (Legal Business Name): ALLISON HILGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 TULANE DRIVE
NAPERVILLE IL
60565
US

IV. Provider business mailing address

1633 TULANE DR
NAPERVILLE IL
60565-1736
US

V. Phone/Fax

Practice location:
  • Phone: 630-479-3602
  • Fax:
Mailing address:
  • Phone: 630-479-3602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: