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General NPI Number Information
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NPI Number | 1235158858
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Entity Type | Individual
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Provider Name | ALLISON D. ACKERMAN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 LAKE COOK RD SUITE 106
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City | DEERFIELD
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State | IL
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Zip | 60015-5607
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Country | US
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Telephone | 847-444-0214
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Fax | 847-444-0214
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Provider Business Mailing Address
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Address Line | 400 LAKE COOK RD SUITE 106
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City | DEERFIELD
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State | IL
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Zip | 60015-5607
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Country | US
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Telephone | 847-444-0214
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Fax | 847-444-0214
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | IL
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