Provider Demographics
NPI:1326899501
Name:FOWLER, ALISON CHRISTIE (MSW, LSW)
Entity Type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:CHRISTIE
Last Name:FOWLER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:ANDREW
Other - Last Name:FOWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 W HIGGINS RD STE 190
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7252
Mailing Address - Country:US
Mailing Address - Phone:945-773-6819
Mailing Address - Fax:
Practice Address - Street 1:421 ROBINHOOD DR
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-1573
Practice Address - Country:US
Practice Address - Phone:630-400-7102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.113175104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty