Provider Demographics
NPI:1972601003
Name:ALLON, MEREDITH A (MS CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:A
Last Name:ALLON
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 BLOOMFIELD CR
Mailing Address - Street 2:
Mailing Address - City:GENERA
Mailing Address - State:IL
Mailing Address - Zip Code:60134
Mailing Address - Country:US
Mailing Address - Phone:630-853-6608
Mailing Address - Fax:630-208-8125
Practice Address - Street 1:535 BLOOMFIELD CR
Practice Address - Street 2:
Practice Address - City:GENERA
Practice Address - State:IL
Practice Address - Zip Code:60134
Practice Address - Country:US
Practice Address - Phone:630-853-6608
Practice Address - Fax:630-208-8125
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
01109636OtherASHA