| Ashley Allis Llc | |
|
708 Church St Suite 221 Evanston IL 60201-3875 | |
| (262) 215-6506 | |
| Not Available |
| Full Name | Ashley Allis Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 708 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Ashley Allis (THERAPIST) |
| Authorized Official Contact | 2622156506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Allis Llc 708 Church St Suite 221 Evanston IL 60201-3875 Ph: (262) 215-6506 | Ashley Allis Llc 708 Church St Suite 221 Evanston IL 60201-3875 Ph: (262) 215-6506 |
| NPI Number | 1386009009 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386009009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180009592 (Illinois) | Primary |
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