Provider Demographics
NPI:1750969622
Name:SAUM, ALISON (DPT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SAUM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 W DIVISION ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-3146
Mailing Address - Country:US
Mailing Address - Phone:704-458-2043
Mailing Address - Fax:
Practice Address - Street 1:396 REMINGTON BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-4311
Practice Address - Country:US
Practice Address - Phone:630-312-5901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist