Provider Demographics
NPI:1073344487
Name:BOEHS, ALLISON MCKENZIE (MSW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MCKENZIE
Last Name:BOEHS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HILLCREST DR STE C
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61571-2227
Mailing Address - Country:US
Mailing Address - Phone:309-444-2800
Mailing Address - Fax:309-444-2866
Practice Address - Street 1:100 HILLCREST DR STE C
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IL
Practice Address - Zip Code:61571-2227
Practice Address - Country:US
Practice Address - Phone:309-444-2800
Practice Address - Fax:309-444-2866
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker