Provider Demographics
NPI:1437935160
Name:KALMON, ALLISON (APRN, DNP, CPNP-PC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:KALMON
Suffix:
Gender:F
Credentials:APRN, DNP, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 GREEN BAY RD APT J
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3139
Mailing Address - Country:US
Mailing Address - Phone:770-826-0046
Mailing Address - Fax:
Practice Address - Street 1:814 COMMERCE DR UNIT 150
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1965
Practice Address - Country:US
Practice Address - Phone:815-322-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209028205363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics