Provider Demographics
NPI:1720202567
Name:ALLEVI, MARIA
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:ALLEVI
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 1:21032 S 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9186
Mailing Address - Country:US
Mailing Address - Phone:815-464-0033
Mailing Address - Fax:
Practice Address - Street 1:21032 S 80TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9186
Practice Address - Country:US
Practice Address - Phone:815-464-0033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor