Individual
ALLISON N MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, NP-C
Contact information
Practice address
3715 MUNICIPAL DR, MCHENRY, IL 60050-5483
(815) 759-2306
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8296
(847) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
041.387154
IL
363LF0000X
Family Nurse Practitioner
Primary
209.019647
IL
Other
Enumeration date
01/07/2014
Last updated
08/15/2019
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