Provider Demographics
NPI:1891942173
Name:SOWARD, ALLISON LR (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LR
Last Name:SOWARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 W CENTRAL RD STE 4400
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2386
Mailing Address - Country:US
Mailing Address - Phone:847-483-9400
Mailing Address - Fax:847-483-9426
Practice Address - Street 1:880 W CENTRAL RD
Practice Address - Street 2:SUITE 3800
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-2369
Practice Address - Country:US
Practice Address - Phone:847-483-9400
Practice Address - Fax:847-483-9808
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.003272363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical