Provider Demographics
NPI:1619162955
Name:ALLIE, ANN C (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:ALLIE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:259 E ERIE ST
Mailing Address - Street 2:SUITE 2230
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2987
Mailing Address - Country:US
Mailing Address - Phone:312-926-6000
Mailing Address - Fax:312-926-6332
Practice Address - Street 1:259 E ERIE ST
Practice Address - Street 2:SUITE 2230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2987
Practice Address - Country:US
Practice Address - Phone:312-926-6000
Practice Address - Fax:312-926-6332
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2016-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036120083207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036120083OtherBCBS
IL036120083Medicaid