Provider Demographics
NPI:1235294828
Name:HUSARIK, ALLISON L (PHD)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:L
Last Name:HUSARIK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 N WINFIELD ROAD
Mailing Address - Street 2:#519
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-1237
Mailing Address - Country:US
Mailing Address - Phone:630-668-2180
Mailing Address - Fax:630-668-2195
Practice Address - Street 1:2900 FOXFIELD ROAD
Practice Address - Street 2:#202
Practice Address - City:ST. CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174
Practice Address - Country:US
Practice Address - Phone:630-668-2180
Practice Address - Fax:630-668-2195
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147000971231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist