Provider Demographics
NPI:1134576358
Name:KARMIN, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:KARMIN
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 1:401 W FULLERTON PKWY
Mailing Address - Street 2:APT 702W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2868
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 W FULLERTON PKWY
Practice Address - Street 2:APT 702W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2868
Practice Address - Country:US
Practice Address - Phone:773-510-9634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant