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Individual

ALLISON LIOKUMOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
001846
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001846
STATE EDUCATION DEPARTMENT
NY
Enumeration date
12/13/2017
Last updated
09/25/2024
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