Provider Demographics
NPI:1609152842
Name:SIKORSKY, ALLISON A (DNP, APRN, PMHNP)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:A
Last Name:SIKORSKY
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 N MCLEAN BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5724
Mailing Address - Country:US
Mailing Address - Phone:866-297-7792
Mailing Address - Fax:833-864-7628
Practice Address - Street 1:132 W LAKE ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1020
Practice Address - Country:US
Practice Address - Phone:833-297-7792
Practice Address - Fax:833-864-7628
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000182363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
174086980OtherGROUP NPI