Individual
ALLISON N SAGEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
523 S MAIN ST, CARROLLTON, IL 62016-1256
(217) 942-3326
(217) 942-9833
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002935
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13970634
CAQH
IL
01
—
277002935
IDPR - FPA APRN LIC
IL
Enumeration date
02/22/2017
Last updated
03/27/2025
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