| Allison J. List, Lcsw, Pc | |
|
1219 Caroline Ct Vernon Hills IL 60061-4192 | |
| (224) 217-2435 | |
| (847) 520-4157 |
| Full Name | Allison J. List, Lcsw, Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1219 Caroline Ct, Vernon Hills, Illinois |
| Authorized Official Name and Position | Allison J. List (PRESIDENT) |
| Authorized Official Contact | 2242172435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allison J. List, Lcsw, Pc 1219 Caroline Ct Vernon Hills IL 60061-4192 Ph: (224) 217-2435 | Allison J. List, Lcsw, Pc 1219 Caroline Ct Vernon Hills IL 60061-4192 Ph: (224) 217-2435 |
| NPI Number | 1427456037 |
|---|---|
| Provider Enumeration Date | 12/12/2014 |
| Last Update Date | 12/12/2014 |
| Medicare PECOS PAC ID | 8224342241 |
|---|---|
| Medicare Enrollment ID | O20150805006740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427456037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 060011386 (Illinois) | Primary |
| Provider Name | Allison J Hutner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093108300 PECOS PAC ID: 9234146697 Enrollment ID: I20060310000087 |
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