Provider Demographics
NPI:1497218457
Name:SCHILLER, ALLISON K
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:K
Last Name:SCHILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 WYNDHAM CT APT 203
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-7912
Mailing Address - Country:US
Mailing Address - Phone:815-592-4350
Mailing Address - Fax:
Practice Address - Street 1:1225 WYNDHAM CT APT 203
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-7912
Practice Address - Country:US
Practice Address - Phone:847-687-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician