Provider Demographics
NPI:1417737909
Name:ALLISON GAJOWNIK, PLLC
Entity Type:Organization
Organization Name:ALLISON GAJOWNIK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAJOWNIK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:630-273-7115
Mailing Address - Street 1:145 COBBLER CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9133
Mailing Address - Country:US
Mailing Address - Phone:630-273-7115
Mailing Address - Fax:331-269-1649
Practice Address - Street 1:145 COBBLER CT
Practice Address - Street 2:
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-9133
Practice Address - Country:US
Practice Address - Phone:630-273-7115
Practice Address - Fax:331-269-1649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty