Provider Demographics
NPI:1376040089
Name:BLOCK, ALLISON NOEL (DO)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:NOEL
Last Name:BLOCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NOEL
Other - Last Name:BRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR STE 308
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6521
Mailing Address - Country:US
Mailing Address - Phone:630-527-7730
Mailing Address - Fax:630-527-7732
Practice Address - Street 1:120 SPALDING DR STE 308
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6521
Practice Address - Country:US
Practice Address - Phone:630-527-7730
Practice Address - Fax:630-527-7732
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI74105-212084N0400X
IL036.1589342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology