Provider Demographics
NPI:1144606377
Name:NEWMAN, ALLISON
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E RANDOLPH ST
Mailing Address - Street 2:25.204D
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-5099
Mailing Address - Country:US
Mailing Address - Phone:312-683-5806
Mailing Address - Fax:
Practice Address - Street 1:300 E RANDOLPH ST
Practice Address - Street 2:25.204D
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-5099
Practice Address - Country:US
Practice Address - Phone:312-683-5806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor