Provider Demographics
NPI:1619056090
Name:ASKEW, ALLEN GEORGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:GEORGE
Last Name:ASKEW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:241 GOLF MILL CTR
Mailing Address - Street 2:SUITE 421
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1224
Mailing Address - Country:US
Mailing Address - Phone:847-824-6313
Mailing Address - Fax:847-674-7882
Practice Address - Street 1:241 GOLF MILL CTR
Practice Address - Street 2:SUITE 421
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1224
Practice Address - Country:US
Practice Address - Phone:847-824-6313
Practice Address - Fax:847-674-7882
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIPO82770OtherGREENSPRING
IL0005577318OtherAETNA
ILL036184OtherCHAMPUS
IL82335OtherFIRST HEALTH
IL01672049OtherBLUE CROSS
IL110565OtherCOMP. PSYCH.
IL0005577318OtherAETNA