Teliszczak, Allison Anne
Teliszczak, Allison Anne is an individual health care provider with primary practice located at 1095 Pingree Rd Ste 108 , Crystal Lake IL 60014-1726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Teliszczak, Allison Anne can be contacted via phone (815) 459-6655.Contact Information
Primary practice address
1095 Pingree Rd Ste 108
Crystal Lake IL 60014-1726
Phone: (815) 459-6655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 277002816 | Illinois |
Profile Details
| NPI number | 1679941819 |
|---|---|
| LBN Legal business name | Teliszczak, Allison Anne |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2015 |
| Last updated | Jan 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679941819 | NPPES |
| Illinois | Other | 277002816 | STATE LICENSE |
| Illinois | Other | 209013024 | STATE LICENSE |
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