Individual
DR. ALLISON BROOKE CAVALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 E 9TH ST STE 200, LOCKPORT, IL 60441-2404
(630) 545-7524
(630) 351-2425
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036137167
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.059284
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036137167
—
IL
Enumeration date
06/24/2011
Last updated
08/29/2023
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