Individual
ALLISON ANNE TELISZCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1095 PINGREE RD STE 108, CRYSTAL LAKE, IL 60014-1726
(815) 459-6655
Mailing address
10350 HALIGUS RD, HUNTLEY, IL 60142-9545
(815) 338-6600
(847) 802-7112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277002816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209013024
STATE LICENSE
IL
01
—
277002816
STATE LICENSE
IL
Enumeration date
09/03/2015
Last updated
01/26/2024
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