Provider Demographics
NPI:1588629778
Name:HILL, ALLISON L (MD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:4950 NORTON HEALTHCARE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2846
Practice Address - Country:US
Practice Address - Phone:502-394-6200
Practice Address - Fax:502-394-6210
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1939589002OtherCIGNA / NMA
KYP00211593OtherRAILROAD MEDICARE
IN200290060Medicaid
50010993OtherPASSPORT / NMA OBC
2732015000OtherPASSPORT ADVANTAGE / NMA OBC
00000350640OtherANTHEM / NMA
000052155MOtherHUMANA / NMA
009246OtherSIHO / NMA
1161761OtherPASSPORT / NMA FINCASTLE
1195117OtherCHA / NMA
KY64050032Medicaid
2439594000OtherPASSPORT ADVANTAGE / NMA FINCASTLE
1939589002OtherCIGNA / NMA
KY64050032Medicaid