Provider Demographics
NPI:1598079188
Name:GREGGE, ALISON (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:
Last Name:GREGGE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:GREGGE
Other - Last Name:MEDINTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2613 N GREENVIEW AVE
Mailing Address - Street 2:UNIT F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1179
Mailing Address - Country:US
Mailing Address - Phone:773-697-9369
Mailing Address - Fax:
Practice Address - Street 1:2613 N GREENVIEW AVE
Practice Address - Street 2:UNIT F
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-1179
Practice Address - Country:US
Practice Address - Phone:773-697-9369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.008934235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist