Provider Demographics
NPI:1891144689
Name:VANHORN, ALLISON FIELD (ATC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:FIELD
Last Name:VANHORN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 ASHLAND AVE.
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-7059
Mailing Address - Country:US
Mailing Address - Phone:847-682-3653
Mailing Address - Fax:
Practice Address - Street 1:1360 ASHLAND AVE.
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-7059
Practice Address - Country:US
Practice Address - Phone:847-682-3653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program