1972932275 NPI number — MRS. ALLISON ANN KOWIESKI MA, LPC

Table of content: MRS. ALLISON ANN KOWIESKI MA, LPC (NPI 1972932275)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972932275 NPI number — MRS. ALLISON ANN KOWIESKI MA, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOWIESKI
Provider First Name:
ALLISON
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FALLS
Provider Other First Name:
ALLISON
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1972932275
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 W HIGGINS RD
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60169-7220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
773-312-9385
Provider Business Mailing Address Fax Number:
847-349-1619

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 W HIGGINS RD
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
HOFFMAN ESTATES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60169-7220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-312-9385
Provider Business Practice Location Address Fax Number:
847-349-1619
Provider Enumeration Date:
11/06/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  178.008684 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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