MEDICARE: ALLISON ELAINE DIGNAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180.013449	IL
2	101YP2500X	Professional Counselor	17801413	IL

General Provider Information

NPI Number	:	1588134522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON ELAINE DIGNAN

Provider Business Mailing Address
First Line	:	3046 W ARMITAGE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5935
Country	:	US
Telephone Number	:	630-254-4110
Fax Number	:

Provider Business Practice Location Address
First Line	:	3046 W ARMITAGE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-5935
Country	:	US
Telephone Number	:	630-254-4110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2018
Last Update Date	:	01/09/2026

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