Provider Demographics
NPI:1679831598
Name:KAY, ALLISON ROBIN
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ROBIN
Last Name:KAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8712 SKOKIE BLVD APT 2I
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-2221
Mailing Address - Country:US
Mailing Address - Phone:847-529-0111
Mailing Address - Fax:
Practice Address - Street 1:8712 SKOKIE BLVD APT 2I
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2221
Practice Address - Country:US
Practice Address - Phone:847-529-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist